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Organization

CLINIC DRUG STORE OF GOLDEN MEADOW INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JOHN CALLAIS PHARM.D. (PHARMACIST)
(985) 475-7777
Entity
Organization

Contact information

Practice address
110 SOUTH BAYOU DRIVE, GOLDEN MEADOW, LA 70357
(985) 475-7777
(985) 475-7888
Mailing address
110 S BAYOU DR, GOLDEN MEADOW, LA 70357-2728
(985) 475-7777
(985) 475-7888

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16430
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1209538
LA
01
19-15480
NABP NUMBER
LA
Enumeration date
02/21/2007
Last updated
03/07/2023
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