NPI: 1417211764 · GONZALES, LA 70737 · Pharmacy · NPI assigned 07/02/2012
| Authorized Official | DUPRE, CHRIS (OWNER) |
| NPI Enumeration Date | 07/02/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 13 | 13 | $0.00 |