| NPI | 1942583166 |
|---|---|
| Doing Business As | BRENT'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRENT LANDRY Owner/PIC/AO 225-332-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006422) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2018-07-19 |