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Organization
MABILES CORNER PHARMACY INC
Active
Organization
MABILES CORNER PHARMACY INC
Active
Other names
MABILES CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MABILE (PRES)
(318) 932-5727
Entity
Organization
Contact information
Practice address
100 GULF ST, COUSHATTA, LA 71019-9014
(318) 932-5727
(318) 932-5630
Mailing address
PO BOX 609, COUSHATTA, LA 71019-0609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY-004694-IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
10/24/2006
Last updated
08/09/2019
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