Organization
HEALTH MART PHARMACY OF JENNINGS L L C
Active
Other names
HEALTH MART PHARMACY OF JENNINGS
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY J DAVID RPH (OWNER)
(337) 523-1851
Entity
Organization
Contact information
Practice address
1322 ELTON RD, STE A, JENNINGS, LA 70546-4138
(337) 616-9500
(337) 616-9555
Mailing address
1322 ELTON RD, STE A, JENNINGS, LA 70546-4138
(337) 616-9500
(337) 616-9555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
C005639IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932804
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
05/11/2011
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