| NPI | 1912028937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD REYNOLDS Owner 504-828-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 5640) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-09-13 |