Organization
MEDICENTER INC
Active
Other names
Coushatta Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SONNIER PHD (PHARMACY MANAGER)
(337) 738-7445
Entity
Organization
Contact information
Practice address
121 TURKEY LANE, KINDER, LA 70648
(337) 738-7445
Mailing address
121 TURKEY LANE, KINDER, LA 70648
(337) 738-7445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
C00530
LA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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