Organization
CENTRAL LOUSIANA HOME OXYGEN
Active
Other names
Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST L GARNER III (PRESIDENT)
(662) 578-7641
Entity
Organization
Contact information
Practice address
15926 BOUNDARY DR., ASHLAND, MS 38603-7739
(662) 224-8922
Mailing address
PO BOX 347, BATESVILLE, MS 38606-0347
(662) 578-7641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
006021
AR
333600000X
Pharmacy
Primary
04750/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440628
—
MS
05
—
139110716
—
AR
Enumeration date
09/26/2006
Last updated
05/01/2009
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