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Organization

SPRINGFIELD DRUG STORE LLC

Active
Other names
Springfield Drug Store
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID EMILE CASANOVA PD (PHARMACIST)
(225) 294-5045
Entity
Organization

Contact information

Practice address
31696 HIGHWAY 22, SPRINGFIELD, LA 70462-7455
(225) 294-5045
(225) 294-2142
Mailing address
PO BOX 10, SPRINGFIELD, LA 70462-0010
(225) 294-5045
(225) 294-2142

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7659
LA

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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