Organization
JENNINGS AMERICAN LEGION HOSPITAL INC
Active
Other names
JALH Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TRAHAN (PIC)
(337) 616-7371
Entity
Organization
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7371
(337) 616-7372
Mailing address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7371
(337) 616-7372
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHY.006628-IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137849
PK
—
05
—
2201832
—
LA
Enumeration date
11/06/2012
Last updated
12/23/2013
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