NPI | 1881871333 |
---|---|
Doing Business As | IBERIA COMPREHENSIVE CHC PHARMACY |
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 |