| NPI | 1851828065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE ANN LEMOINE Pharmacist In Charge 318-807-6254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 7479) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-04-04 |