| NPI | 1215963665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY L RICHARD Owner/Manager 337-662-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: LA 1709 - IR) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |