Organization
FAMILY DRUG MART, LLC
Active
Other names
family drug mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL YANEZ RPH (PHARMACIST IN CHARGE/ OWNER)
(985) 641-7557
Entity
Organization
Contact information
Practice address
140 GAUSE BLVD, SLIDELL, LA 70458
(985) 641-7557
(833) 909-2104
Mailing address
2299 SUNSET BLVD, SLIDELL, LA 70461-5605
(985) 641-7557
(833) 909-2104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234168
—
LA
Enumeration date
10/02/2006
Last updated
12/30/2021
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