| NPI | 1538260658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE B GANUCHEAU Owner 337-234-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 61-IR) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 15749) |
| 183700000X Pharmacy Technician (Licence: LA 1190) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-03-07 |