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Organization
MANSFIELD DRUG INC
Active
Organization
MANSFIELD DRUG INC
Active
Other names
Mansfield Drug
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DUCOTE (OWNER/VICE PRESIDENT)
(318) 872-1933
Entity
Organization
Contact information
Practice address
132 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-1933
(318) 872-5816
Mailing address
PO BOX 1329, MANSFIELD, LA 71052-1329
(318) 872-1933
(318) 872-5816
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY006935IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147678
PK
—
05
—
2202979
—
LA
Enumeration date
09/02/2014
Last updated
12/18/2016
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