| NPI | 1932587813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE VEILLON Owner/Manager 337-806-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 7161) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-08-14 |