Organization
COMMUNITY CHOICE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT BURRELL PHARM D (PRESIDENT/PHARMACIST)
(504) 957-2336
Entity
Organization
Contact information
Practice address
9970 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2609
(504) 240-0000
(504) 240-0009
Mailing address
9970 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2609
(504) 240-0000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202391
—
LA
Enumeration date
12/17/2018
Last updated
12/17/2018
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