| NPI | 1811176365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEY W HILL Owner 225-262-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 3958-IR) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2018-04-25 |