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Organization
WALTER BIRDSALL PHARMACY INC
Active
Organization
WALTER BIRDSALL PHARMACY INC
Active
Other names
WALTER BIRDSALL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER BIRDSALL RPH (PRESIDENT / PIC)
(985) 632-5003
Entity
Organization
Contact information
Practice address
118 W 111TH ST, CUT OFF, LA 70345-3620
(985) 632-5003
(985) 632-5083
Mailing address
PO BOX 840, CUT OFF, LA 70345-0840
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY001188IR
LA
Other
Enumeration date
10/03/2006
Last updated
04/04/2016
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