Organization
FARMERVILLE DRUG CO INC
Active
Other names
FARMERVILLE DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALBRITTON (PRES OWNER)
(318) 368-9711
Entity
Organization
Contact information
Practice address
300 E WATER ST, FARMERVILLE, LA 71241-3032
(318) 368-9711
(318) 368-8567
Mailing address
300 E WATER ST, FARMERVILLE, LA 71241-3032
(318) 368-9711
(318) 368-8567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY000356IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215261
—
LA
01
—
1902825
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/11/2006
Last updated
01/06/2011
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