Organization
HEALTH MART OF DENHAM SPRINGS LLC
Active
Other names
Health Mart Pharmacy & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY DAVID RPH (OWNER)
(225) 271-4995
Entity
Organization
Contact information
Practice address
31839 LA HIGHWAY 16 STE A, DENHAM SPRINGS, LA 70726-1423
(225) 271-4995
(225) 271-4945
Mailing address
818 N CUSHING AVE, KAPLAN, LA 70548-2615
(337) 643-7952
(337) 643-7953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006782
LA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142349
PK
—
05
—
2202341
—
LA
Enumeration date
09/24/2013
Last updated
12/22/2015
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