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Organization

CLINIC PHARMACY OF MANGHAM LLC

Active
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Organization

CLINIC PHARMACY OF MANGHAM LLC

Active
Other names
CLINIC PHARMACY OF MANGHAM LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLA BRIDGES PD (OWNER/AO)
(318) 248-3338
Entity
Organization

Contact information

Practice address
252 HIGHWAY 132, MANGHAM, LA 71259-5268
(318) 248-3338
(318) 248-3399
Mailing address
252 HIGHWAY 132, MANGHAM, LA 71259-5268
(318) 248-3338
(318) 248-3399

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006681-IR
LA

Other

Enumeration date
03/27/2006
Last updated
03/03/2016
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