Organization
MADISONVILLE DRUGS INC
Active
Other names
MADISONVILLE DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIAN HAHN PHARMD (DIR OF PHCY)
(985) 792-1711
Entity
Organization
Contact information
Practice address
211 COVINGTON ST, MADISONVILLE, LA 70447-9683
(985) 792-1711
(985) 792-1752
Mailing address
PO BOX 489, MADISONVILLE, LA 70447-0489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5482-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275069
—
LA
01
—
1930216
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/12/2006
Last updated
02/20/2013
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