NPI | 1437362209 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY ROSS COCKRELL Pharmacist 225-683-9805 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 185 IR) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2009-10-06 |