Organization
BALDWIN PHARMACY LLC
Active
Other names
BALDWIN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FITCH RPH (MANAGER)
(337) 923-4682
Entity
Organization
Contact information
Practice address
702 MAIN, BALDWIN, LA 70514-0507
(337) 923-4682
(337) 923-6868
Mailing address
PO BOX 507, BALDWIN, LA 70514-0507
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005125-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271047
—
LA
01
—
2028460
PK
—
Enumeration date
01/16/2007
Last updated
01/20/2017
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