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Organization
BROWN MORRIS PHARMACY INC
Active
Organization
BROWN MORRIS PHARMACY INC
Active
Other names
BROWN MORRIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCARDULLA PD (PHARMACIST AND OWNER)
(985) 229-6210
Entity
Organization
Contact information
Practice address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Mailing address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
004203
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267091
—
LA
01
—
1906518
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2006
Last updated
04/26/2011
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