Organization
IDEAL PHARMACY OF FRANKLINTON LLC
Active
Other names
IDEAL DRUG STORE OF FRANKLINTON LLC
Organization subpart
No
Provider details
NPI number
Authorized official
C BURKHALTER (MEMBER)
(985) 839-4668
Entity
Organization
Contact information
Practice address
808 RIVERSIDE DR, FRANKLINTON, LA 70438-3634
(985) 839-4668
(985) 839-4669
Mailing address
808 RIVERSIDE DR, FRANKLINTON, LA 70438-3634
(985) 839-4668
(985) 839-4669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1936IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255874
—
LA
01
—
2031946
PK
—
Enumeration date
08/18/2006
Last updated
01/13/2017
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