Organization
VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRKLAND DANIEL JEANE RPH (PHARMACIST)
(225) 271-8416
Entity
Organization
Contact information
Practice address
18390 LA HIGHWAY 16, PORT VINCENT, LA 70726-8135
(225) 271-8416
Mailing address
18390 LA HIGHWAY 16, PORT VINCENT, LA 70726-8135
(225) 271-8416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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