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Organization

MONTECINO DRUGS INC.

Active
Other names
Montecino Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS MONTECINO (PRESIDENT/PHARMACY MANAGRER)
(504) 347-0085
Entity
Organization

Contact information

Practice address
5917 LAPALCO BLVD, MARRERO, LA 70072-4833
(204) 343-4822
(504) 340-3090
Mailing address
5917 LAPALCO BLVD, MARRERO, LA 70072-4833
(204) 343-4822
(504) 340-3090

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY.007687-IR
LA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2177401
PK
Enumeration date
05/04/2018
Last updated
05/04/2018
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