Organization
YANEZ ENTERPRISES LLC
Active
Other names
FAMILY DRUG MART #2
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE YANEZ RPH (OWNER)
(504) 338-7992
Entity
Organization
Contact information
Practice address
61461 HIGHWAY 1090, PEARL RIVER, LA 70452-4146
(985) 863-3737
(985) 863-3237
Mailing address
2299 SUNSET BLVD, SLIDELL, LA 70461-5605
(504) 338-7992
(985) 863-3237
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY005924IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1218308
—
LA
01
—
2035556
PK
—
Enumeration date
01/04/2008
Last updated
12/30/2021
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