| NPI | 1063202992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN THOMAS Owner 504-203-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 251X00000X Supports Brokerage | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-06-26 |