Organization
C & C DRUGS, INC.
Active
Other names
C & C Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
J VALLEE (PRESIDENT)
(985) 626-0234
Entity
Organization
Contact information
Practice address
1705 HIGHWAY 59, SUITE 4, MANDEVILLE, LA 70448-1950
(985) 626-0234
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5616-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1206687
—
LA
Enumeration date
08/15/2006
Last updated
08/22/2020
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