| NPI | 1053869081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA PAUL Pharmacist 504-575-4762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA PST021752) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |