Organization
MINSKY-SALEMI INC
Active
Other names
M & S Super Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BROWN RPH (PHARMACIST IN CHARGE)
(318) 559-2433
Entity
Organization
Contact information
Practice address
303 N HOOD ST, LAKE PROVIDENCE, LA 71254-2141
(318) 559-2433
(318) 559-2437
Mailing address
303 N HOOD ST, LAKE PROVIDENCE, LA 71254-2141
(318) 559-2433
(318) 559-2437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4188IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267279
—
LA
01
—
1915062
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
09/17/2012
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