| NPI | 1639200959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADY LYNN ESCHETE Pharmacist In Charge 985-873-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 17241) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |