| NPI | 1437436011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FLOYD TALLEY Owner / Compounding Pharmacist 985-386-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 006444-IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2022-10-27 |