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Organization
DESTREHAN PHARMACY INC
Active
Organization
DESTREHAN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PAUL FAUCHEAUX (MANAGER)
(985) 764-1181
Entity
Organization
Contact information
Practice address
3001 ORMOND BLVD, STE. A-1, DESTREHAN, LA 70047-2544
(985) 764-1181
Mailing address
3001 ORMOND BLVD, STE. A-1, DESTREHAN, LA 70047-2544
(985) 764-1181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6844IR
LA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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