NPI | 1730277369 |
---|---|
Entity Type | Organization |
Authorized Contact | HARVEY BERNARD LEBAS Owner/Pharmacist 337-363-3456 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 342-IR) |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |