Organization
CHURCH POINT COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BODIN (OWNER/PHARMACIST)
(337) 684-1911
Entity
Organization
Contact information
Practice address
731 S MAIN ST, CHURCH POINT, LA 70525-4109
(337) 684-1911
Mailing address
PO BOX 130, CHURCH POINT, LA 70525-0130
(337) 684-1911
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271918
—
LA
Enumeration date
05/20/2019
Last updated
05/20/2019
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