NPI | 1720226350 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT BURRELL Owner 504-957-2336 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 6079) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2013-01-06 |