NPI | 1265675029 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET M MENTESANE Executive Director 318-227-2912 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 333600000X Pharmacy (Licence: LA 2441-CH) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2009-04-09 |