| NPI | 1770551277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND MELANCON President 337-896-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 5874) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-12-21 |