| NPI | 1760686869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ANTHONY ARCENEAUX Pharmacist In Charge 985-872-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 13409) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-12-07 |