| NPI | 1740394899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL JAMES DUGAS Director 337-228-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 1489) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-09-28 |