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Organization
ROCK BEN INC
Active
Organization
ROCK BEN INC
Active
Other names
GLENNS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LE BAS PD (PIC OWNER)
(337) 948-9827
Entity
Organization
Contact information
Practice address
1615 N MAIN ST, OPELOUSAS, LA 70570-6618
(337) 948-9827
(337) 948-6553
Mailing address
1615 N MAIN ST, OPELOUSAS, LA 70570-6618
(337) 948-9827
(337) 948-6553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY004110IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
08/14/2006
Last updated
07/19/2018
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