| NPI | 1386256121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANTHONY PETERS Managing Member 225-810-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |