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Organization

CASSIDYS PHARMACY INC

Active
Other names
CASSIDYS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN CASSIDY RPH (PRESIDENT)
(337) 824-1648
Entity
Organization

Contact information

Practice address
710 N MAIN ST, JENNINGS, LA 70546-5312
(337) 824-1648
(337) 824-6440
Mailing address
PO BOX 957, JENNINGS, LA 70546-0957

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY003337
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1263311
LA
01
2028757
PK
Enumeration date
10/24/2006
Last updated
12/08/2015
About Stedi
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  • Eligibility checks
  • EDI platform