Organization
PHARMACY CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD REYNOLDS PHRMD (OWNER)
(504) 828-1606
Entity
Organization
Contact information
Practice address
3805 JEFFERSON HWY, JEFFERSON, LA 70121-1625
(504) 834-2525
(504) 834-2515
Mailing address
3805 JEFFERSON HWY, JEFFERSON, LA 70121-1625
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5814IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1933301
OTHER ID NUMBER
—
Enumeration date
06/06/2007
Last updated
09/12/2007
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