Organization
VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK JEANE (PHARMACIST)
(225) 698-0800
Entity
Organization
Contact information
Practice address
29811 WALKER SOUTH RD., WALKER, LA 70785
(225) 698-0800
Mailing address
29811 WALKER SOUTH RD., WALKER, LA 70785
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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