Organization
IMMUNIZATION SERVICES OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GERARD HEDRICK PHARMD (OWNER)
(504) 430-3397
Entity
Organization
Contact information
Practice address
1608 DIVISION ST, METAIRIE, LA 70001-2712
(504) 430-3397
(504) 828-7640
Mailing address
1608 DIVISION ST, METAIRIE, LA 70001-2712
(504) 430-3397
(504) 828-7640
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
17258
LA
Other
Enumeration date
03/03/2012
Last updated
03/12/2012
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