Organization
KINDER FAMILY PHARMACY, LLC
Active
Other names
KINDER FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PETERSON (OWNER)
(337) 462-0177
Entity
Organization
Contact information
Practice address
904 4TH AVE, KINDER, LA 70648-0430
(337) 738-2531
(337) 738-3049
Mailing address
PO BOX 430, KINDER, LA 70648-0430
(337) 738-2531
(337) 738-3049
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167099
PK
—
Enumeration date
02/03/2017
Last updated
02/03/2017
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