Organization
ACADIANA AMBULATORY HEALTH CARE SERVICES
Active
Other names
Stafford Healthcare Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(479) 636-9702
Entity
Organization
Contact information
Practice address
207 WESTMARK BLVD., LAFAYETTE, LA 70506
(479) 636-9702
(877) 427-2307
Mailing address
PO BOX 3328, BENTONVILLE, AR 72712
(479) 636-9702
(877) 427-2307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD.013845
LA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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