Organization
FRED'S PHARMACY #3958
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PERKINS (PHARMACIST)
(318) 559-2433
Entity
Organization
Contact information
Practice address
303 N HOOD ST, LAKE PROVIDENCE, LA 71254-2141
(318) 559-2433
(318) 559-2437
Mailing address
303 N HOOD ST, LAKE PROVIDENCE, LA 71254-2141
(318) 559-2433
(318) 559-2437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-010467
MS
183500000X
Pharmacist
Primary
PST.018472
LA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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