| NPI | 1508853540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD ROBICHAUX Manager 318-671-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 7465-IR) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-03-07 |