| NPI | 1952993305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TETE E KOFFIE-LARTEVI Pharmacist 504-782-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2022-02-22 |