| NPI | 1669584652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PETERS Owner/Managing Member 225-810-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA C002686IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA PHY.002686-IR) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-23 |