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Organization
BLAKES SOUTHSIDE PHARMACY PHASE II LLC
Active
Organization
BLAKES SOUTHSIDE PHARMACY PHASE II LLC
Active
Other names
Blakes Southside Pharmacy INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L FORET PHARMACIST (PIC ( PHARMACIST IN CHARGE))
(337) 363-7497
Entity
Organization
Contact information
Practice address
808 S. CHATAIGNIER RD, VILLE PLATTE, LA 70586
(337) 363-7497
(337) 363-0473
Mailing address
808 S. CHATAIGNIER RD, VILLE PLATTE, LA 70586
(337) 363-7497
(337) 363-0473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10232
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
02/14/2007
Last updated
09/03/2020
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