| NPI | 1376617894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MICHAEL CASSO COO 504-616-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5471IR) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |