| NPI | 1194187591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BRAUD Pharmacist In Charge 985-688-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY.004673CH) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |