Organization
SAMS CLUB PHARMACY 6521
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO CHAUVIN (PHARMACY MANAGER)
(985) 665-4196
Entity
Organization
Contact information
Practice address
2174 MARTIN LUTHER KING JR BLVD, HOUMA, LA 70360-2275
(985) 851-2147
(985) 851-2286
Mailing address
2174 MARTIN LUTHER KING JR BLVD, HOUMA, LA 70360-2275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16106
LA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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