| NPI | 1366518466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY NEIL Authorized Official 985-386-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY.006647-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-02-16 |