| NPI | 1306426135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BROUSSARD VP Of Compliance 985-879-3966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |