| NPI | 1881871333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD BOUTTE PIC 337-376-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 5987) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-12-01 |