# SOUTHEAST LOUISIANA WAR VETERANS HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Louisiana War Veterans Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346626801
- **Authorized official:** ROBERT BECNEL (PHARMACISTS-IN-CHARGE)
- **Authorized official phone:** (985) 479-4080

## Contact information

- **Practice address:** 4080 W AIRLINE HWY, RESERVE, LA 70084-5712
- **Practice address phone:** (985) 479-4080
- **Practice address fax:** (985) 479-4091
- **Mailing address:** 4080 W AIRLINE HWY, RESERVE, LA 70084-5712
- **Mailing address phone:** (985) 479-4080
- **Mailing address fax:** (985) 479-4091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY005821 | LA | Yes |

## Other

- **Enumeration date:** 08/07/2015
- **Last updated:** 08/07/2015