Organization
TED'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN T WARE RPH (PHARMACIST)
(318) 624-1053
Entity
Organization
Contact information
Practice address
1866 MAIN ST, HAYNESVILLE, LA 71038-4904
(318) 624-1053
(318) 624-2233
Mailing address
1866 MAIN ST, HAYNESVILLE, LA 71038-4904
(318) 624-1053
(318) 624-2233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5750IR
LA
Other
Enumeration date
02/07/2007
Last updated
06/17/2008
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