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Organization
NORTHSHORE DISCOUNT PHARMACY INC
Active
Organization
NORTHSHORE DISCOUNT PHARMACY INC
Active
Other names
NORTHSHORE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WENDLING (PRESIDENT)
(601) 403-8662
Entity
Organization
Contact information
Practice address
680 ROBERT BLVD, SLIDELL, LA 70458-1648
(985) 641-5585
(985) 641-2314
Mailing address
130 SUN VALLEY ACRES, POPLARVILLE, MS 39470-6269
(601) 403-8662
(601) 795-0497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
3721IR
LA
Other
Enumeration date
01/16/2007
Last updated
11/27/2012
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