Organization
VAUGHANS CITY DRUGS OF CONCORDIA INC.
Active
Other names
Vaughans City Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L VAUGHAN RPH (OWNER)
(318) 757-4811
Entity
Organization
Contact information
Practice address
109 EE WALLACE BLVD N, FERRIDAY, LA 71334-2819
(318) 757-4811
(318) 757-4439
Mailing address
109 EE WALLACE BLVD, FERRIDAY, LA 71334-2806
(318) 757-4811
(318) 757-4439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5305IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271993
—
LA
Enumeration date
12/15/2006
Last updated
11/24/2024
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