| NPI | 1336251297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNIA WILLIS Owner 337-942-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY002222IR) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-10-18 |