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Organization

GLEN-MAR INC

Active
Other names
MURPHY NASH PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
PURVIS NASH RPH (OWNER)
(318) 259-4211
Entity
Organization

Contact information

Practice address
200 JIMMIE DAVIS BLVD, JONESBORO, LA 71251-3329
(318) 259-4211
(318) 259-3600
Mailing address
200 JIMMIE DAVIS BLVD, JONESBORO, LA 71251-3329

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
809IR
LA
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1230294
LA
01
1906392
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/26/2006
Last updated
09/11/2025
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