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Organization
IDEAL PHARMACY OF FRANKLINTON LLC
Active
Organization
IDEAL PHARMACY OF FRANKLINTON LLC
Active
Other names
IDEAL DRUG STORE OF FRANKLINTON LLC
Organization subpart
No
Provider details
NPI number
Authorized official
C BURKHALTER (MEMBER)
(985) 839-4668
Entity
Organization
Contact information
Practice address
808 RIVERSIDE DR, FRANKLINTON, LA 70438-3634
(985) 839-4668
(985) 839-4669
Mailing address
808 RIVERSIDE DR, FRANKLINTON, LA 70438-3634
(985) 839-4668
(985) 839-4669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1936IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
08/18/2006
Last updated
01/13/2017
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