| NPI | 1457320343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G SOILEAU Owner 337-363-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 2536-IR) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 2536-IR) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 2536-IR) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 2536-IR) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-01-20 |