Organization
M C STANDARD DRUG STORE INC
Active
Other names
STANDARD DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA PREJEAN RPH (PRESIDENT/PHARMACIST)
(985) 384-1467
Entity
Organization
Contact information
Practice address
1120 8TH ST, MORGAN CITY, LA 70380-1955
(985) 384-1467
(985) 385-0709
Mailing address
PO BOX 1717, MORGAN CITY, LA 70381-1717
(985) 384-1467
(985) 385-0709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006799-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029000
PK
—
05
—
2202588
—
LA
Enumeration date
08/18/2006
Last updated
04/13/2017
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