Organization
AIRLINE DRUG LLC
Active
Other names
Airline Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DANIEL DUCK (MANAGER)
(318) 584-7433
Entity
Organization
Contact information
Practice address
4860 AIRLINE DR STE B, BOSSIER CITY, LA 71111
(318) 584-7433
(318) 584-7434
Mailing address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
(318) 539-3199
(318) 539-3197
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007519-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205404
—
LA
Enumeration date
08/11/2017
Last updated
07/21/2023
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