Organization
CHURCH POINT DRUG INC
Active
Other names
CHURCH POINT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DOUCET ALLEMAN RPH (OWNER)
(337) 684-5475
Entity
Organization
Contact information
Practice address
300 N MAIN ST, CHURCH POINT, LA 70525-3006
(337) 684-5475
(337) 684-5562
Mailing address
300 N MAIN ST, CHURCH POINT, LA 70525-3006
(337) 684-5475
(337) 684-5562
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY005622IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028637
PK
—
Enumeration date
07/30/2006
Last updated
06/10/2019
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