| NPI | 1255051983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AUSTIN PEAVY Owner/Manager 225-939-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |