Organization
MARCLO ENTERPRISES, INC
Active
Other names
CASH DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN E CLOESSNER JR. PD (OWNER)
(318) 992-5088
Entity
Organization
Contact information
Practice address
1825 EAST OAK ST, JENA, LA 71342-0940
(318) 992-5088
(318) 992-6446
Mailing address
PO BOX 940, JENA, LA 71342-0940
(318) 992-5088
(318) 992-6446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0139-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1207594
—
LA
Enumeration date
05/19/2006
Last updated
05/09/2008
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