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Organization
PORT VINCENT PHARMACY LLC
Active
Organization
PORT VINCENT PHARMACY LLC
Active
Other names
Port Vincent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLIN ANTHONY LACOMBE JR. R.PH. (OWNER/PHARMACIST-IN-CHARGE)
(225) 698-6666
Entity
Organization
Contact information
Practice address
18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
(225) 698-6666
(225) 698-6766
Mailing address
18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
(225) 698-6666
(225) 698-6766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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