Organization
S & S PHARMACY OF MONROE LTD
Active
Other names
S AND S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SULLIVAN HARRIS BS PHARMACY (DIR)
(318) 387-9608
Entity
Organization
Contact information
Practice address
2951 RENWICK ST, MONROE, LA 71201-8146
(318) 387-9608
(318) 387-9659
Mailing address
2951 RENWICK ST, MONROE, LA 71201-8146
(318) 387-9608
(318) 387-9659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY001511IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259063
—
LA
01
—
2030939
PK
—
Enumeration date
11/29/2006
Last updated
04/05/2017
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