| NPI | 1083766620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R SMITHBURG Vice Chancellor CEO 225-922-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |