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Organization
FAMILY DRUG MART OF SUMRALL, LLC
Active
Organization
FAMILY DRUG MART OF SUMRALL, LLC
Active
Other names
FAMILY DRUG MART OF SUMRALL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MIGUEL YANEZ RPH (OWNER)
(504) 338-7992
Entity
Organization
Contact information
Practice address
4233 ROCKY BRANCH RD STE B, SUMRALL, MS 39482-4142
(769) 307-7050
(769) 307-7020
Mailing address
2299 SUNSET BLVD, SLIDELL, LA 70461-5605
(504) 338-7992
(985) 265-4550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330324
—
MS
05
—
3303247
—
MS
Enumeration date
09/24/2019
Last updated
01/29/2026
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