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Organization
DH BYNUM ENTERPRISES INC
Active
Organization
DH BYNUM ENTERPRISES INC
Active
Other names
OUACHITA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DRURY BYNUM RPH MBA FASCP (OWNER / CEO)
(318) 388-2669
Entity
Organization
Contact information
Practice address
1215 ORANGE ST, MONROE, LA 71202-2319
(318) 388-2669
(318) 387-5377
Mailing address
1215 ORANGE ST, MONROE, LA 71202-2319
(318) 388-2669
(318) 387-5377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.004297-IR
LA
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267244
—
LA
01
—
2032642
PK
—
Enumeration date
08/18/2006
Last updated
10/15/2014
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