| NPI | 1508373960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THIBAUT DJAPNI Owner 337-255-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 7578) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-07-21 |