| NPI | 1396015103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SULLIVAN DITTA Owner/Pharmacist In Charge 318-355-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 017373) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |