Organization
MAGNOLIA DRUGS AND DELIVERY CORPORATION
Active
Other names
Magnolia Drugs and Delivery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHALLIM KRUTH PHARMD (PHARMACIST/OWNER)
(225) 926-7955
Entity
Organization
Contact information
Practice address
10782 NORTH HARRELLS FERRY ROAD, STE D, BATON ROUGE, LA 70816
(225) 926-7955
(225) 926-7953
Mailing address
10782 NORTH HARRELLS FERRY ROAD, STE D, BATON ROUGE, LA 70816
(225) 926-7955
(225) 926-7953
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
C-006249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6249
LOUISIANA STATE PERMIT NUMBER
LA
01
—
C-006249
LOUISIANA STATE CDS
LA
Enumeration date
05/10/2010
Last updated
04/11/2011
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