| NPI | 1659914513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CANOVA Vice President Of Finance 225-765-6312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |