| NPI | 1386049518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDERSON C.F.O 985-230-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 6979) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2020-12-30 |