Organization
LOUISIANA PHARMACY LLC
Active
Other names
DRENNANS MEDICINE CHEST
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WEAVER (PRESIDENT)
(903) 885-0821
Entity
Organization
Contact information
Practice address
2713 N 7TH ST, WEST MONROE, LA 71291-4627
(318) 396-6180
(903) 885-8734
Mailing address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
(903) 885-8734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5720IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268895
—
LA
01
—
1911709
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/29/2006
Last updated
01/13/2010
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