| 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 |