| NPI | 1063808624 |
|---|---|
| Doing Business As | ADVANTAGE RX |
| Entity Type | Organization |
| Authorized Contact | SHARON LEBOUEF Managing Member 225-766-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA PHY.007092-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2016-04-28 |