| NPI | 1801845342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN T TRAHAN President 337-704-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 5552-IR) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-02-05 |