Organization
MEDRITE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN MORAD (CEO)
(504) 246-2220
Entity
Organization
Contact information
Practice address
5640 READ BLVD, SUITE 650, NEW ORLEANS, LA 70127-3140
(504) 246-2220
(504) 246-2224
Mailing address
PO BOX 5610, SLIDELL, LA 70469-5610
(504) 246-2220
(504) 246-2224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122483
—
LA
Enumeration date
10/11/2006
Last updated
08/06/2010
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