| NPI | 1871505305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GEOFFROY President 337-364-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 1445-IR) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |