Organization
COUSHATTA TRIBE OF LOUISIANA
Active
Other names
COUSHATTA HD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CHRISTOPHER FUSELIER JR. RPH (PHARMACIST IN CHARGE)
(337) 584-1439
Entity
Organization
Contact information
Practice address
2003 C C BEL RD, ELTON, LA 70532-5318
(337) 584-1439
(337) 584-1486
Mailing address
2003 C C BEL RD, ELTON, LA 70532-5318
(337) 584-1439
(337) 584-1486
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
05/26/2020
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