| NPI | 1568640902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS KRYJAK Pharmacist In Charge 985-982-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 5193) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |