| NPI | 1679775779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT JAIN CEO 337-468-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY005901IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-12-13 |