# BENNIE G. OWENS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Headrick's Drug Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508396656
- **Authorized official:** MR. BENNIE G OWENS (OWNER/PHARMACIST)
- **Authorized official phone:** (318) 697-4381

## Contact information

- **Practice address:** 204 MAIN ST, LOGANSPORT, LA 71049-2997
- **Practice address phone:** (318) 697-4381
- **Practice address fax:** (318) 697-5311
- **Mailing address:** PO BOX 68, LOGANSPORT, LA 71049-0068
- **Mailing address phone:** (318) 697-4381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 452-IR | LA | Yes |

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 06/12/2017