| NPI | 1306494463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BREAUX Owner 337-661-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-06-09 |