| NPI | 1194969089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL BARRON CFO 337-785-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 6016 IR) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: LA 6016 IR) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 6016 IR) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-02-07 |