Organization
LEE ROAD FAMILY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL GLEN WILLIAMS JR. PHARM D (PRESIDENT)
(504) 382-8461
Entity
Organization
Contact information
Practice address
19705 HIGHWAY 40, COVINGTON, LA 70435-9316
(504) 382-8461
Mailing address
19705 HIGHWAY 40, COVINGTON, LA 70435-9316
(504) 382-8461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
LA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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