NPI | 1780891812 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY L GODAIR Pharmacist In Charge 337-239-3474 |
Organization Subpart ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA 7001) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |