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Organization
ESTHER WANDA INC
Active
Organization
ESTHER WANDA INC
Active
Other names
KENNER DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER CLARISSE WANDA DOCTOR OF PHARMACY (PHARMACY MANAGER)
(504) 464-4421
Entity
Organization
Contact information
Practice address
3108 LOYOLA DR, KENNER, LA 70065-4139
(504) 464-4421
(504) 469-5995
Mailing address
3108 LOYOLA DR, KENNER, LA 70065-4139
(504) 464-4421
(504) 469-5995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5319
LA
Other
Enumeration date
11/02/2006
Last updated
05/10/2010
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