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Organization
FAMILY DRUG MART OF POPLARVILLE,LLC
Active
Organization
FAMILY DRUG MART OF POPLARVILLE,LLC
Active
Other names
FAMILY DRUG MART OF POPLARVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL YANEZ RPH (OWNER/PHARMACIST)
(504) 338-7992
Entity
Organization
Contact information
Practice address
100 HIGHWAY 11 N, POPLARVILLE, MS 39470-2217
(504) 338-7992
(985) 727-7494
Mailing address
2299 SUNSET BLVD, SLIDELL, LA 70461-5605
(504) 338-7992
(985) 727-7494
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
17206
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9030801
—
MS
Enumeration date
08/09/2018
Last updated
12/24/2021
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