| NPI | 1437748506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON RICKEY DELRIE Managing Officer 337-853-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |