Organization
WAL-MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ALONNA CLUTTS PHARMD (PHARMACIST)
(501) 328-3606
Entity
Organization
Contact information
Practice address
3009 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3510
(985) 626-1118
Mailing address
3009 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3510
(985) 626-1118
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PST.021136
LA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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