| NPI | 1053665570 |
|---|---|
| Doing Business As | JALH OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN TRAHAN PIC 337-616-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: LA PHY.006628-IR) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2013-12-23 |