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Organization
SS BOSSIER CITY LLC
Active
Organization
SS BOSSIER CITY LLC
Active
Other names
QVL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CHAD COLLINS (CEO)
(214) 624-3050
Entity
Organization
Contact information
Practice address
3501 SEVERN AVE STE 3A, STE 3A, METAIRIE, LA 70002-3459
(504) 889-8483
(504) 889-8487
Mailing address
PO BOX 803493, DALLAS, TX 75380-3493
(214) 624-3073
(214) 989-7986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5538IR
LA
Other
Enumeration date
05/17/2006
Last updated
06/17/2014
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