Organization
NORTHSHORE DISCOUNT PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JON WENDLING R.PH. (OWNER)
(985) 641-5585
Entity
Organization
Contact information
Practice address
680 ROBERT BLVD, SLIDELL, LA 70458-1648
(985) 641-5585
(985) 641-2314
Mailing address
680 ROBERT BLVD, SLIDELL, LA 70458-1648
(985) 641-5585
(985) 641-2314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3721
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264598
—
LA
Enumeration date
03/15/2007
Last updated
08/22/2020
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