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Organization
PORT ALLEN SUPERMARKET INC
Active
Organization
PORT ALLEN SUPERMARKET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD INKROTT RPH (PHARMACIST)
(225) 343-7855
Entity
Organization
Contact information
Practice address
220 N ALEXANDER AVE, PORT ALLEN, LA 70767-2514
(225) 343-7855
(225) 344-4197
Mailing address
220 N ALEXANDER AVE, PORT ALLEN, LA 70767-2514
(225) 343-7855
(225) 344-4197
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003541IR
LA
Other
Enumeration date
07/22/2006
Last updated
06/19/2008
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