# CLINTON DRUGSTORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437362209
- **Authorized official:** MR. LARRY ROSS COCKRELL P.D. (PHARMACIST)
- **Authorized official phone:** (225) 683-9805

## Contact information

- **Practice address:** 1027 ST HELENA, CLINTON, LA 70722-1027
- **Practice address phone:** (225) 683-9805
- **Mailing address:** PO BOX 209, CLINTON, LA 70722
- **Mailing address phone:** (225) 683-9805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 185 IR | LA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 10/06/2009