| NPI | 1356772669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY-LINH NGUYEN Pharmacist 504-458-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA pst.020359) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |