Organization
HEALTH MART PHARMACY LTC KAPLAN
Active
Other names
HEALTH MART PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY DAVID (OWNER)
(337) 523-1851
Entity
Organization
Contact information
Practice address
818 N CUSHING AVE, STE A, KAPLAN, LA 70548-2615
(337) 643-8881
(337) 643-1990
Mailing address
818 N CUSHING AVE, STE A, KAPLAN, LA 70548-2615
(337) 643-8881
(337) 643-1990
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
6053IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117745
PK
—
Enumeration date
10/13/2008
Last updated
12/19/2013
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