| NPI | 1083110894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN FRANCISE Owner/PIC 225-774-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 7193-IR) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-01-14 |