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Organization

FELICIANA PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES HARUEN (PRESIDENT)
(225) 635-3700
Entity
Organization

Contact information

Practice address
7189 U S HIGHWAY 61, ST FRANCISVILLE, LA 70775
(225) 635-3700
(225) 635-3491
Mailing address
PO BOX 578, SAINT FRANCISVILLE, LA 70775-0578

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
000365
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215619
LA
01
1911204
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
01/08/2007
Last updated
11/14/2007
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