| NPI | 1073746988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JACKSON LLC Member/Manager 504-252-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2010-09-08 |