Organization
FIRST DOSE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH MCEWEN (PRESIDENT OWNER)
(504) 701-9292
Entity
Organization
Contact information
Practice address
5128 LAPALCO BLVD, STE D, MARRERO, LA 70072-4249
(504) 365-8614
(504) 365-8616
Mailing address
PO BOX 1867, MARRERO, LA 70073-1867
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
C005498IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274569
—
LA
01
—
1932157
OTHER ID NUMBER
—
Enumeration date
06/24/2006
Last updated
12/19/2007
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