| NPI | 1477616274 |
|---|---|
| Doing Business As | MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AUDREY LETARD Owner/President 225-654-8383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-07-09 |