Organization
EDDIE'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND EDDIE BORDELON R.PH. (PRESIDENT/OWNER/CHIEF PHARMACIST)
(318) 876-3665
Entity
Organization
Contact information
Practice address
206 CHOUPIQUE LN, COTTONPORT, LA 71327-3757
(318) 876-3665
(318) 876-3665
Mailing address
206 CHOUPIQUE LN, COTTONPORT, LA 71327-3757
(318) 876-3665
(318) 876-3665
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1692-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1253626
—
LA
01
—
1919337
NABP
LA
Enumeration date
11/01/2005
Last updated
03/07/2023
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