Organization
COURT HOUSE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM C BRIAN JR. RPH (OWNER PHARMACIST)
(318) 628-3303
Entity
Organization
Contact information
Practice address
104 S JONES ST, WINNFIELD, LA 71483
(318) 628-3303
(318) 628-7122
Mailing address
104 S JONES ST, WINNFIELD, LA 71483
(318) 628-3303
(318) 628-7122
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
201IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211001
—
LA
01
—
1911886
NCPDP
—
Enumeration date
10/06/2006
Last updated
07/10/2008
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