NPI | 1619375219 |
---|---|
Other Name | PEGASUS PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMIE BLALOCK TESTA Owner 504-281-4408 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006999-IR) |
Enumeration Date | 2014-12-12 |
Last Update Date | 2014-12-12 |