# HEALTH MART OF JENNINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTH MART PHARMACY OF JENNINGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669403697
- **Authorized official:** WESLEY DAVID RPH (OWNER AND PRESIDENT)
- **Authorized official phone:** (337) 616-9500

## Contact information

- **Practice address:** 1322 ELTON RD, SUITE A, JENNINGS, LA 70546-4100
- **Practice address phone:** (337) 616-9500
- **Practice address fax:** (337) 616-9555
- **Mailing address:** 818 N CUSHING AVE, KAPLAN, LA 70548-2615
- **Mailing address phone:** (337) 643-7952
- **Mailing address fax:** (337) 643-7953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.005639-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 12/22/2015