Organization
OLLA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE N. CANAL RPH (PRESIDENT)
(318) 339-7913
Entity
Organization
Contact information
Practice address
104 MOUND ST, JONESVILLE, LA 71343-2319
(318) 339-7913
(318) 339-7914
Mailing address
104 MOUND ST, JONESVILLE, LA 71343-2319
(318) 339-7913
(318) 339-7914
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3547
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264377
—
LA
01
—
1902584
NABP
—
Enumeration date
06/04/2006
Last updated
03/21/2018
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