Organization
JENA PHARMACY LLC
Active
Other names
JENA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON POOLE (PIC/OWNER)
(318) 992-5565
Entity
Organization
Contact information
Practice address
11973 HWY 84 W, JENA, LA 71342-4463
(318) 992-5565
(318) 992-5599
Mailing address
PO BOX 589, JENA, LA 71342-0589
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005664-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234265
—
LA
01
—
2028752
PK
—
Enumeration date
08/18/2006
Last updated
02/14/2020
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