Organization
WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER
Active
Other names
Outpatient Procurement Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE WASCOM CUMMINGS (CHIEF FINANCIAL OFFICER)
(985) 730-2208
Entity
Organization
Contact information
Practice address
400 MEMPHIS STREET, BOGALUSA, LA 70427
(985) 730-2208
(985) 730-2209
Mailing address
433 PLAZA STREET, BOGALUSA, LA 70427
(985) 730-2208
(985) 730-2209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5550-IR
LA
333600000X
Pharmacy
5550IR
LA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932816
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
10/31/2008
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