| NPI | 1518054709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL PATEL Owner 337-365-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY007503IR) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA PHY007503IR) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: LA PHY007503IR) | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-01-15 |