| NPI | 1932501038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PLAISANCE PIC 504-324-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-06-18 |