| NPI | 1104397900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CARTER Manager/Member 504-284-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2022-10-17 |