| NPI | 1801325436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN JOE LANDRY Owner/Pharmacist 337-278-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PENDING) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |