Organization
EGAN DRUG CO
Active
Other names
Egan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARK HATTEN CPA (CONTROLLER)
(504) 835-4474
Entity
Organization
Contact information
Practice address
3121 21ST ST, METAIRIE, LA 70002-4916
(504) 835-4474
(504) 833-2363
Mailing address
3121 21ST ST, METAIRIE, LA 70002-4916
(504) 835-4474
(504) 833-2363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY.006383-IR
LA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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