| NPI | 1457215949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASHICA ROBINSON Senior Accountant 225-383-9139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2026-01-12 |