Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W HASTEN PHARMACIST (PHARMACIST)
(985) 331-1866
Entity
Organization
Contact information
Practice address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Mailing address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
(985) 331-8256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10471
LA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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