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
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