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Organization
IMMUNIZATION SERVICES OF LOUISIANA, LLC
Active
Organization
IMMUNIZATION SERVICES OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GERARD HEDRICK PHARMD (OWNER)
(504) 430-3397
Entity
Organization
Contact information
Practice address
1608 DIVISION ST, METAIRIE, LA 70001-2712
(504) 430-3397
(504) 828-7640
Mailing address
1608 DIVISION ST, METAIRIE, LA 70001-2712
(504) 430-3397
(504) 828-7640
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
17258
LA
Other
Enumeration date
03/03/2012
Last updated
03/12/2012
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