| NPI | 1356332522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MOURET Pharmacy Manager/Vice President 337-364-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA C00008IR) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-04-20 |