| NPI | 1821081050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN JOE LANDRY Owner/Pharmacist 337-839-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 006633) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-06-13 |