Organization
NIELSENS PHARMACY LLC
Active
Other names
NIELSENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BILL NIELSEN (OWNER)
(985) 732-5752
Entity
Organization
Contact information
Practice address
1619 S COLUMBIA ST, BOGALUSA, LA 70427-5824
(985) 732-5752
(985) 732-5921
Mailing address
1619 S COLUMBIA ST, BOGALUSA, LA 70427-5824
(985) 732-5752
(985) 732-5921
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005222-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271691
—
LA
01
—
1927815
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/23/2005
Last updated
11/09/2012
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