Organization
ISLAND INSTITUTIONAL PHARMACY
Active
Other names
island institutional pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A GIRAULT BIRD PHARMACIST (OWNER)
(318) 389-5807
Entity
Organization
Contact information
Practice address
313 CHISUM STREET, POB 38, SICILY ISLAND, LA 71368-0038
(318) 389-5807
Mailing address
313 CHISUM STREET, ISLAND INSTITUTIONAL PHARMACY, POB 38, SICILY ISLAND, LA 71368-0038
(318) 389-5807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9223
LA
3336I0012X
Institutional Pharmacy
Primary
5055-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269891
—
LA
Enumeration date
01/10/2007
Last updated
06/12/2008
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