Organization
BROWN MORRIS PHARMACY INC
Active
Other names
BROWN MORRIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCARDULLA PD (PHARMACIST AND OWNER)
(985) 229-6210
Entity
Organization
Contact information
Practice address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Mailing address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004203
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267091
—
LA
01
—
1906518
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2006
Last updated
04/26/2011
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