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Organization
SOUTHEAST LOUISIANA WAR VETERANS HOME
Active
Organization
SOUTHEAST LOUISIANA WAR VETERANS HOME
Active
Other names
Southeast Louisiana War Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BECNEL (PHARMACISTS-IN-CHARGE)
(985) 479-4080
Entity
Organization
Contact information
Practice address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4091
Mailing address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4091
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY005821
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153438
PK
—
Enumeration date
08/07/2015
Last updated
08/07/2015
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