| NPI | 1902351208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL JORDAN FLORES Pharmacist 225-610-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.021687) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |