Organization
SLIDELL PHARMACY LLC
Active
Other names
Slidell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE BEI-PALERMO CPHT (OWNER)
(985) 288-0099
Entity
Organization
Contact information
Practice address
1201 ROBERT BLVD, SLIDELL, LA 70458
(985) 288-0099
(985) 641-2677
Mailing address
1115 REBECCA REID DR, SLIDELL, LA 70461-2015
(985) 641-2660
(985) 641-2677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235237
—
LA
01
—
1934694
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2009
Last updated
11/10/2011
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