| NPI | 1699823690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE NUNNERY Phrm Mang 225-767-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5491) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |