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Organization
MDB DRUGS
Active
Organization
MDB DRUGS
Active
Other names
BUCKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERCOER (PHCST OWNER)
(337) 639-2925
Entity
Organization
Contact information
Practice address
805 W 7TH AVE, OBERLIN, LA 70655
(337) 639-2925
(337) 639-4260
Mailing address
PO BOX 1200, OBERLIN, LA 70655-1200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
4321IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267597
—
LA
01
—
1923211
OTHER ID NUMBER
—
Enumeration date
02/06/2007
Last updated
09/12/2007
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