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 Services (Licence: LA 3542IR) |
Enumeration Date | 2010-03-30 |
Last Update Date | 2012-09-04 |