| NPI | 1083791552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWARD J MAYEAUX Owner Pharmacist 337-584-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 1467IR) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 10564) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-17 |