Organization
INNIS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLIN ANTHONY LACOMBE JR. P,D. (PIC/OWNER)
(225) 202-8424
Entity
Organization
Contact information
Practice address
6430 LA HWY 1, INNIS, LA 70747
(225) 202-8424
Mailing address
6430 LA HWY 1, BATCHELOR, LA 70715
(225) 202-8424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14114
LA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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