Organization
ESENBEE INC
Active
Other names
BOLTON HEALTH MART
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN YELLOTT (OWNER)
(225) 343-4869
Entity
Organization
Contact information
Practice address
2958 PERKINS RD, BATON ROUGE, LA 70808-2248
(225) 343-4869
(225) 343-4819
Mailing address
2958 PERKINS RD, BATON ROUGE, LA 70808-2248
(225) 343-4869
(225) 343-4819
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006956-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148549
PK
—
05
—
2203096
—
LA
Enumeration date
10/17/2014
Last updated
02/04/2015
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