| NPI | 1962595793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MORGAN Owner/Manager 225-218-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |