Organization
PEARSON DRUGS NO 7 LLC
Active
Other names
PEARSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY MCKAY RPH (OWNER AND PHARMACIST)
(318) 776-5649
Entity
Organization
Contact information
Practice address
1806 WATER ST, LECOMPTE, LA 71346-9545
(318) 776-5649
(318) 776-9212
Mailing address
PO BOX 369, LECOMPTE, LA 71346-0369
(318) 776-5649
(318) 776-9212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.3151-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262609
—
LA
01
—
2029930
PK
—
Enumeration date
11/15/2006
Last updated
01/18/2017
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