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Organization
ARDOIN CRESCENT DRUG STORE
Active
Organization
ARDOIN CRESCENT DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS ARDOIN (OWNER AND PHARMACIST)
(337) 824-4534
Entity
Organization
Contact information
Practice address
254 N MAIN ST, JENNINGS, LA 70546-5848
(337) 824-4534
(337) 824-1307
Mailing address
PO BOX 1205, JENNINGS, LA 70546-1205
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2236IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258504
—
LA
01
—
1906316
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
09/11/2025
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