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Organization
OLD GRETNA PHARMACY, LLC
Active
Organization
OLD GRETNA PHARMACY, LLC
Active
Other names
Old Gretna Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STEELE (MANAGER)
(504) 252-9686
Entity
Organization
Contact information
Practice address
500 LAFAYETTE ST, GRETNA, LA 70053-5936
(504) 252-9686
(504) 252-9839
Mailing address
PO BOX 661, GRETNA, LA 70054-0661
(504) 252-9686
(504) 252-9839
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
PHY006869IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153973
PK
—
Enumeration date
09/11/2015
Last updated
09/11/2015
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