| NPI | 1265757512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRIFFIN President/CEO 504-212-9502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 3542IR) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: LA 3542IR) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2012-09-04 |