# JOHN BIRD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Island Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558692400
- **Authorized official:** JOHN BIRD RPH (OWNER)
- **Authorized official phone:** (318) 758-5533

## Contact information

- **Practice address:** 311 CHISUM ST, SICILY ISLAND, LA 71368-4807
- **Practice address phone:** (318) 389-5807
- **Practice address fax:** (318) 389-5842
- **Mailing address:** PO BOX 38, SICILY ISLAND, LA 71368-0038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.6199-IR | LA | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 11/14/2014