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Organization

TOM'S EXPRESS DRUGS, LLC

Active
Other names
Toms Express Drug
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW J. BAUMGARTNER CPA, J.D. (MEMBER/OWNER)
(407) 354-5365
Entity
Organization

Contact information

Practice address
403 SPENCER ST, RAYVILLE, LA 71269-2932
(318) 728-3353
(318) 728-0703
Mailing address
403 SPENCER ST, RAYVILLE, LA 71269-2932
(318) 728-3353
(318) 728-0703

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
LA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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