| NPI | 1205235744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M WELCH Pharmacist 337-513-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 020594) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |