Organization
PORT VINCENT PHARMACY LLC
Active
Other names
Port Vincent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLIN ANTHONY LACOMBE JR. R.PH. (OWNER/PHARMACIST-IN-CHARGE)
(225) 698-6666
Entity
Organization
Contact information
Practice address
18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
(225) 698-6666
(225) 698-6766
Mailing address
18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
(225) 698-6666
(225) 698-6766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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