Organization
BRASWELL DRUGS INC
Active
Other names
BRASWELL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA BRASWELL (OWNER)
(985) 892-0818
Entity
Organization
Contact information
Practice address
1107 S TYLER ST, COVINGTON, LA 70433-2327
(985) 892-0818
(985) 892-2742
Mailing address
1107 S TYLER ST, COVINGTON, LA 70433-2327
(985) 892-0818
(985) 892-2742
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001646-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1253332
—
LA
01
—
2031009
PK
—
Enumeration date
01/08/2007
Last updated
12/22/2016
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