| NPI | 1790352367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BRIGGS BOSWORTH Program Director 504-821-9211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |