| NPI | 1497636914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE SCHEXNAYDER Revenue Cycle Manager 985-873-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |