| NPI | 1780068155 |
|---|---|
| Doing Business As | LOUISIANA SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WESLEY DAVID CEO/Owner 337-235-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA PHY007142IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-12-22 |