| NPI | 1134116742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN LEACH Chief Financial Officer 985-626-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 1270-IR) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2021-03-16 |