| NPI | 1518203751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JAMES VEILLON Owner/PIC 337-296-1384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |