Organization
HEALTH MART OF LAKE ARTHUR, INC.
Active
Other names
Health Mart Pharmacy of Lake Arthur
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY J. DAVID (OWNER/PHARMACIST)
(337) 774-6622
Entity
Organization
Contact information
Practice address
500 N HIGHWAY 26, LAKE ARTHUR, LA 70549-3904
(337) 774-6622
Mailing address
500 N HIGHWAY 26, LAKE ARTHUR, LA 70549-3904
(337) 774-6622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15819
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269549
—
LA
01
—
4976
LA BOARD OF PHARMACY PERMIT
LA
Enumeration date
07/06/2006
Last updated
04/08/2012
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