Organization
MALL PHARMACY LLC
Active
Other names
Mall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY O'GLEE PHARM D (PIC)
(318) 539-3622
Entity
Organization
Contact information
Practice address
531 S MAIN ST, SPRINGHILL, LA 71075-4027
(318) 539-3622
Mailing address
PO BOX 1126, SPRINGHILL, LA 71075-1126
(318) 539-3622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203550
—
LA
Enumeration date
02/08/2007
Last updated
04/30/2025
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