Organization
SCRIPT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN GEGENHEIMER (OWENER)
(985) 792-4377
Entity
Organization
Contact information
Practice address
1922 HWY 22 WEST, SUITE B, MADISONVILLE, LA 70447
(985) 792-4377
Mailing address
1922 HIGHWAY 22 W, SUITE B, MADISONVILLE, LA 70447-9490
(985) 792-4377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006951
LA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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