Organization
DH BYNUM ENTERPRISES INC
Active
Other names
OUACHITA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DRURY BYNUM RPH MBA FASCP (OWNER / CEO)
(318) 388-2669
Entity
Organization
Contact information
Practice address
1215 ORANGE ST, MONROE, LA 71202-2319
(318) 388-2669
(318) 387-5377
Mailing address
1215 ORANGE ST, MONROE, LA 71202-2319
(318) 388-2669
(318) 387-5377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.004297-IR
LA
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267244
—
LA
01
—
2032642
PK
—
Enumeration date
08/18/2006
Last updated
10/15/2014
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