Organization
CBJ VENTURES LLC
Active
Other names
MED PRO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CYRENA BROWN PHRMD (OWNER)
(504) 234-1056
Entity
Organization
Contact information
Practice address
3601 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-5745
(504) 322-2200
(504) 393-7549
Mailing address
659 RUE SAINT MICHAEL, TERRYTOWN, LA 70056-8224
(504) 234-1056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005986-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1226556
—
LA
01
—
2035621
PK
—
Enumeration date
04/23/2008
Last updated
04/10/2017
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