NPI: 1851716104 · GRETNA, LA 70056 · Community/Retail Pharmacy · NPI assigned 02/24/2014
| Authorized Official | LE, BROOKE (OWNER/PHARMACIST) |
| NPI Enumeration Date | 02/24/2014 |
Other providers sharing the same authorized official: LE, BROOKE
| Provider | City | State | Total Paid |
|---|---|---|---|
| PROFESSIONAL PLAZA PHARMACY INC | GRETNA | LA | $0.00 |
| DELTA DRUGS OF PORT SULPHUR LLC | PORT SULPHUR | LA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 379 | $0.00 |