NPI | 1962501726 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN BOURGEDIS Office Manager 985-876-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA 023735) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |