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Organization
VILLAGE PHARMACY OF MER ROUGE INC
Active
Organization
VILLAGE PHARMACY OF MER ROUGE INC
Active
Other names
VILLAGE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BLACKWELL (CEO)
(318) 647-5786
Entity
Organization
Contact information
Practice address
308 DAVENPORT, MER ROUGE, LA 71261-0165
(318) 647-5786
(318) 647-3539
Mailing address
PO BOX 165, MER ROUGE, LA 71261-0165
(318) 647-5786
(318) 647-3539
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001475-IR
LA
Other
Enumeration date
09/06/2006
Last updated
01/07/2011
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