| NPI | 1215194071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BLADES Pharmacist In Charge 225-987-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |