| NPI | 1861775009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCOTT BLACK Director Of Pharmacy 225-644-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 6077) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2023-03-07 |