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Organization
PF SPAM LLC
Active
Organization
PF SPAM LLC
Active
Other names
PAULS PHARMACY HAMMOND
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DURIN (OWNER)
(985) 878-4401
Entity
Organization
Contact information
Practice address
18150 HIGHWAY 190 E, HAMMOND, LA 70401-3400
(985) 345-7122
(985) 345-7162
Mailing address
18150 HIGHWAY 190 E, HAMMOND, LA 70401-3400
(985) 878-4401
(985) 878-3657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005971-IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1224987
—
LA
01
—
2035612
PK
—
Enumeration date
03/17/2008
Last updated
12/14/2021
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