Organization
COMMUNITY CHOICE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT PETER BURRELL PHARM D (PHARMACIST/OWNER)
(504) 957-2336
Entity
Organization
Contact information
Practice address
9970 LAKE FOREST BLVD, SUITE A, NEW ORLEANS, LA 70127-2609
(504) 957-2336
Mailing address
8636 MARKS ST, NEW ORLEANS, LA 70118-4628
(504) 957-2336
(504) 942-8701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006794
LA
Other
Enumeration date
12/16/2013
Last updated
01/03/2014
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