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Organization

BRAND DIRECT HEALTH LLC

Active
Other names
Brand Direct Health LLC
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CAMP (PRESIDENT)
(985) 809-2181
Entity
Organization

Contact information

Practice address
68397 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7776
(985) 809-8421
(866) 227-5928
Mailing address
68397 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7776
(985) 809-8421
(866) 227-5928

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-006723-IR
LA
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2141362
PK
Enumeration date
02/03/2010
Last updated
12/20/2013
About Stedi
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