Organization
HOSPITAL SERVICE DISTRICT NO. 1 OF TANGIPAHOA PARISH
Active
Other names
North Oaks Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDERSON (C.F.O)
(985) 230-6602
Entity
Organization
Contact information
Practice address
15790 PAUL VEGA MD DR, RETAIL PHARMACY, HAMMOND, LA 70403-1434
(985) 230-3383
(985) 230-6484
Mailing address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-7979
(985) 230-6484
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6979
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203151
—
LA
01
—
6979
PHARMACY PERMIT NUMBER
LA
Enumeration date
10/30/2014
Last updated
12/30/2020
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