Organization
PHILIP BEARD
Active
Other names
PHIL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BEARD PD RPH (OWNER)
(337) 639-4367
Entity
Organization
Contact information
Practice address
805 WEST 7TH AVE, OBERLIN, LA 70655-0189
(337) 639-4367
(337) 639-4202
Mailing address
PO BOX 189, OBERLIN, LA 70655-0189
(337) 639-4367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY002488IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259969
—
LA
01
—
2032636
PK
—
Enumeration date
12/13/2006
Last updated
06/08/2018
Update your record
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