| NPI | 1164971859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L. HEINE CEO 225-408-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 7359) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |