| NPI | 1992710529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LANTIER Owner 337-233-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5633IR) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-25 |