# NIELSEN'S CITY DRUG STORE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NIELSENS CITY DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295871804
- **Authorized official:** KEVIN NIELSEN (OWNER)
- **Authorized official phone:** (985) 732-2561

## Contact information

- **Practice address:** 330 AUSTIN ST, BOGALUSA, LA 70427-3818
- **Practice address phone:** (985) 732-2562
- **Practice address fax:** (985) 732-3421
- **Mailing address:** 330 AUSTIN ST, BOGALUSA, LA 70427-3818
- **Mailing address phone:** (985) 732-2561
- **Mailing address fax:** (985) 732-3421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.000821-IR | LA | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 04/04/2017