| NPI | 1619481066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO JOHN DELUCA Managing Member 504-616-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 7536) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |