| NPI | 1922764521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD MULA Pharmacist In Charge/Owner 337-385-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-12-14 |