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Organization
BON AMI PHARMACY
Active
Organization
BON AMI PHARMACY
Active
Other names
Bon Ami Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MYLES STELLY (OWNER)
(318) 614-3414
Entity
Organization
Contact information
Practice address
2825 GRAND POINT HWY # 9, BREAUX BRIDGE, LA 70517-6972
(337) 454-6536
(337) 454-6540
Mailing address
120 RUE DES PHARMACIENS, SCOTT, LA 70583
(318) 614-3414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
007472
LA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
04/20/2017
Last updated
01/10/2022
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