| NPI | 1598177917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN LANDRY Owner/PIC 337-839-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006633-IR) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |