| NPI | 1871032128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L VIALLON PIC/ Owner 225-545-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PHY.007417-IR) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-03-07 |