Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W HASTEN RPH (PHARMACIST)
(504) 885-9047
Entity
Organization
Contact information
Practice address
4916 MAYEAUX ST, METAIRIE, LA 70006-1129
(504) 885-9047
(504) 887-0372
Mailing address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10471
LA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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