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Organization
CENTRAL DRUG STORE INC
Active
Organization
CENTRAL DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL WHITE MILLER (MANAGER)
(225) 262-6200
Entity
Organization
Contact information
Practice address
9952 SULLIVAN RD, BATON ROUGE, LA 70818-4300
(225) 262-6200
(225) 262-6578
Mailing address
9952 SULLIVAN RD, BATON ROUGE, LA 70818-4300
(225) 262-6200
(225) 262-6578
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265926
—
LA
Enumeration date
07/12/2019
Last updated
07/15/2019
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