Organization
JAMES DRUG STORE LLC
Active
Other names
JAMES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BRIAN RPH (PIC AND VP)
(225) 665-5186
Entity
Organization
Contact information
Practice address
257 FLORIDA AVE SE, SUITE A, DENHAM SPRINGS, LA 70726-3728
(225) 665-5186
(225) 665-8633
Mailing address
257 FLORIDA AVE SE, DENHAM SPRINGS, LA 70726-3798
(225) 665-5186
(225) 667-0306
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2972IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262595
—
LA
01
—
2028652
PK
—
Enumeration date
12/18/2006
Last updated
06/04/2020
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