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Organization
BRAND DIRECT HEALTH LLC
Active
Organization
BRAND DIRECT HEALTH LLC
Active
Other names
Brand Direct Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CAMP (PRESIDENT)
(985) 809-2181
Entity
Organization
Contact information
Practice address
68397 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7776
(985) 809-8421
(866) 227-5928
Mailing address
68397 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7776
(985) 809-8421
(866) 227-5928
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-006723-IR
LA
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141362
PK
—
Enumeration date
02/03/2010
Last updated
12/20/2013
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