| NPI | 1295014090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P REVELS Director 504-454-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: LA PHY.004214-HOSP) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-12-20 |