Organization
BRENT MARTI
Active
Other names
HEALTH WISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MARTI (OWNER)
(337) 439-7067
Entity
Organization
Contact information
Practice address
916 SAMPSON ST STE A, WESTLAKE, LA 70669-5347
(337) 439-7067
(337) 436-6427
Mailing address
916 SAMPSON ST STE A, WESTLAKE, LA 70669-5347
(337) 439-7067
(337) 436-6427
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3495
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263958
—
LA
01
—
2033627
PK
—
Enumeration date
12/26/2006
Last updated
12/02/2016
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