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Organization
TOM'S EXPRESS DRUGS, LLC
Active
Organization
TOM'S EXPRESS DRUGS, LLC
Active
Other names
Toms Express Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J. BAUMGARTNER CPA, J.D. (MEMBER/OWNER)
(407) 354-5365
Entity
Organization
Contact information
Practice address
403 SPENCER ST, RAYVILLE, LA 71269-2932
(318) 728-3353
(318) 728-0703
Mailing address
403 SPENCER ST, RAYVILLE, LA 71269-2932
(318) 728-3353
(318) 728-0703
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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