Organization
F AND M SPECIALTY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY FOX SKELTON II R.PH. (VICE-PRESIDENT)
(601) 939-9353
Entity
Organization
Contact information
Practice address
118 VILLAGE ST, SUITE D, SLIDELL, LA 70458-5302
(985) 781-6798
(985) 781-9580
Mailing address
118 VILLAGE ST, SUITE D, SLIDELL, LA 70458-5302
(985) 781-6798
(985) 781-9580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5202-IR
LA
3336C0003X
Community/Retail Pharmacy
5202-IR
LA
3336S0011X
Specialty Pharmacy
5202-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804028
—
MS
05
—
1271276
—
LA
Enumeration date
09/22/2006
Last updated
08/25/2008
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