| NPI | 1326175993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN FONTENOT Pharmacist/Owner 337-468-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.003144-IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA PHY.003144-IR) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-05-05 |