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Organization

SOUTHEAST LOUISIANA WAR VETERANS HOME

Active
Other names
Southeast Louisiana War Veterans Home
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BECNEL (PHARMACISTS-IN-CHARGE)
(985) 479-4080
Entity
Organization

Contact information

Practice address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4091
Mailing address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4091

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY005821
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2153438
PK
Enumeration date
08/07/2015
Last updated
08/07/2015
Update your record

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