| NPI | 1861912255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH NADINE WESENBERG Pharmacist 504-782-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 17332) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |