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Organization
MATTE'S PHARMACY INC
Active
Organization
MATTE'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MICHAEL MATTE SR. RPH (PRESIDENT/PHARMACIST)
(318) 292-4570
Entity
Organization
Contact information
Practice address
314 MAIN ST, MARION, LA 71260
(318) 292-4570
(318) 292-5606
Mailing address
PO BOX 17, MARION, LA 71260-0017
(318) 292-4570
(318) 292-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY.000711-IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
711-IR
LA
Other
Enumeration date
07/11/2006
Last updated
04/11/2017
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