| NPI | 1114025194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FERRARA LLC Member 225-752-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA 015137) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-02-26 |