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Organization
BASILE FAMILY PHARMACY LLC
Active
Organization
BASILE FAMILY PHARMACY LLC
Active
Other names
Basile Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA CHAUMONT (PHARMACY MANAGER/OWNER)
(337) 432-5560
Entity
Organization
Contact information
Practice address
2932 STAGG AVE STE B, BASILE, LA 70515-5560
(337) 432-5560
(337) 432-5567
Mailing address
2932 STAGG AVE STE B, BASILE, LA 70515-5560
(337) 432-5560
(337) 432-5567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
006666
LA
Other
Enumeration date
11/18/2011
Last updated
12/17/2013
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