| NPI | 1083707426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BIJEAUX Owner 337-365-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA C000486IR) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2008-02-08 |