Organization
CONCORDIA DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK RANDOLPH SMITH R.PH. (PRESIDENT)
(318) 757-3811
Entity
Organization
Contact information
Practice address
114 LOUISIANA AVE, FERRIDAY, LA 71334-2826
(318) 757-3811
(318) 757-4106
Mailing address
114 LOUISIANA AVE, FERRIDAY, LA 71334-2826
(318) 757-3811
(318) 757-4106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2800-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261289
—
LA
Enumeration date
11/02/2005
Last updated
08/22/2020
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