Organization
CHURCH POINT COMMUNITY PHARMACY
Active
Other names
COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD BODIN I RPH (OWNER)
(337) 684-1911
Entity
Organization
Contact information
Practice address
731 S MAIN ST, SUITE B, CHRUCH POINT, LA 70525
(337) 684-1911
(337) 684-1912
Mailing address
731 S MAIN ST, SUITE B, CHURCH POINT, LA 70525-4109
(337) 684-1911
(337) 684-1912
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5339-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271918
—
LA
01
—
1931939
NCPDP
LA
Enumeration date
02/28/2007
Last updated
03/07/2023
Update your record
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