| NPI | 1699136176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DEROUEN General Manager 337-364-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY.007332-IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2024-06-11 |