NPI | 1659914513 |
---|---|
Doing Business As | OUR LADY OF THE LAKE CHILDREN'S HOSPITAL PHARMACY |
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 |