Organization
CENTRAL DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEY W HILL (OWNER)
(225) 262-6200
Entity
Organization
Contact information
Practice address
9952 SULLIVAN RD, BATON ROUGE, LA 70818-4300
(225) 262-6200
(225) 262-6578
Mailing address
9952 SULLIVAN RD, BATON ROUGE, LA 70818-4300
(225) 262-6200
(225) 262-6578
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3958-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265926
—
LA
Enumeration date
11/01/2007
Last updated
04/25/2018
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