| NPI | 1316037054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. GIBSON Owner 337-562-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 4478-IR) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-04-19 |