| NPI | 1073733325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDOUX CHASTANT Chief Executive Officer 225-952-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: LA C001065-1R) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |