Organization
NORTH CADDO DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK KALEEL (OWNER)
(318) 375-2573
Entity
Organization
Contact information
Practice address
144 W LOUISIANA AVENUE, VIVIAN, LA 71082-2836
(318) 375-2573
(317) 375-3156
Mailing address
144 W LOUISIANA AVE, VIVIAN, LA 71082-2836
(318) 375-2573
(317) 375-3156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4558IR
LA
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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