Organization
ALPHA PHARMACEUTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH SASSONE (OWNER)
(504) 832-0614
Entity
Organization
Contact information
Practice address
3813 JEFFERSON HWY, JEFFERSON, LA 70121
(504) 832-0614
(504) 832-0614
Mailing address
3813 JEFFERSON HWY, JEFFERSON, LA 70121
(504) 832-0614
(504) 832-0614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
49821R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05786860
—
MS
05
—
1272001
—
LA
Enumeration date
12/28/2006
Last updated
03/06/2008
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