| NPI | 1548720527 |
|---|---|
| Doing Business As | LOUISIANA CENTER FOR ADVANCED MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SPENCER K SULLIVAN CEO/Owner 601-499-0935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-09-25 |