Organization
ABITA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROGER CHAMBERLAIN (OWNER-PIC)
(985) 875-9906
Entity
Organization
Contact information
Practice address
22107 HIGHWAY 36 # B, ABITA SPRINGS, LA 70420-3949
(985) 875-9906
(985) 875-9926
Mailing address
22107 HIGHWAY 36 STE B, ABITA SPRINGS, LA 70420-3949
(985) 875-9906
(985) 875-9926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
C004842-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269417
—
LA
Enumeration date
10/18/2006
Last updated
08/22/2020
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