| NPI | 1134456619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T DJAPNI Owner 337-255-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 6197-IR) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2021-01-27 |