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Organization

JOHN BULL PHARMACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN EDWARD BULL P.D. (PRESIDENT)
(504) 443-1294
Entity
Organization

Contact information

Practice address
2124 38TH ST, KENNER, LA 70065-3510
(504) 443-1294
(504) 443-1982
Mailing address
2124 38TH ST, KENNER, LA 70065-3510
(504) 443-1294
(504) 443-1982

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4086203001
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1253111
LA
01
1918018
NCPDP
LA
Enumeration date
07/01/2005
Last updated
03/07/2023
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