Organization
MADISONVILLE DRUGS INC
Active
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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