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Organization

BRASWELL DRUGS INC

Active
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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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