| NPI | 1164481255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S ROBERT Director Of Operations 337-942-7551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 5617) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-02-06 |