| NPI | 1235685918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI JENKINS Pharmacist 337-580-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PST.021701) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |