| NPI | 1316068281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA H HEGWOOD Pharmacist Owner 337-237-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 2446 ir) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |