Organization
MANSFIELD DRUG INC
Active
Other names
MANSFIELD DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DUCOTE (SECRETARY/OWNER)
(318) 872-1933
Entity
Organization
Contact information
Practice address
132 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-1933
(318) 872-5816
Mailing address
PO BOX 1329, MANSFIELD, LA 71052-1329
(318) 872-1933
(318) 872-5816
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006935-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263443
—
LA
01
—
2028921
PK
—
Enumeration date
09/20/2006
Last updated
08/27/2014
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