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Organization

MEDICIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES THIBODEAUX (PHARMACY MANAGER)
(337) 540-1868
Entity
Organization

Contact information

Practice address
1727 IMPERIAL BLVD BLDG 4, LAKE CHARLES, LA 70605-5393
(337) 540-1868
Mailing address
1727 IMPERIAL BLVD BLDG 4, LAKE CHARLES, LA 70605-5393
(337) 540-1868

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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