| NPI | 1124016324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD SALTAFORMAGGIO Pharmacist Owner 225-667-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 5226-IR) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |