| NPI | 1316237928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRKLAND DANIEL JEANE Pharmacist 225-698-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 18892) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |