NPI: 1295248672 · YOUNGSVILLE, LA 70592 · Pharmacy · NPI assigned 11/08/2017
| Authorized Official | BROOKSHIRE, TRENT (EXEC VP-CORPORATE DEVELOPMENT) |
| NPI Enumeration Date | 11/08/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0064A | 12 | 12 | $0.00 |