Organization
CLAIBORNE DRUGSTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWAFEMI ADEGBOYEGA (OWNER)
(318) 927-6089
Entity
Organization
Contact information
Practice address
822 W MAIN ST STE A, HOMER, LA 71040-3324
(318) 927-6089
(318) 252-3212
Mailing address
822 W MAIN ST STE A, HOMER, LA 71040-3324
(318) 927-6089
(318) 252-3212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/09/2026
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