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Organization
NIELSEN'S CITY DRUG STORE, INC
Active
Organization
NIELSEN'S CITY DRUG STORE, INC
Active
Other names
NIELSENS CITY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN NIELSEN (OWNER)
(985) 732-2561
Entity
Organization
Contact information
Practice address
330 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 732-2562
(985) 732-3421
Mailing address
330 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 732-2561
(985) 732-3421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.000821-IR
LA
Other
Enumeration date
01/30/2007
Last updated
04/04/2017
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