| NPI | 1518395755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAUL ROCK Pharmacist 985-879-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 10582) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |