| NPI | 1841668530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY STEELE Manager 504-252-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: LA PHY006869IR) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |