| NPI | 1326677691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDALL STAFFORD Owner/ Pharmacist 985-515-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |