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1184019846
CHILDREN'S PHARMACY
LAKE CHARLES, LA
NPI
1184019846
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Entity Type
Organization
Authorized Contact
CHUCK K. SELF
Administrator
337-478-6480
Organization Subpart ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: LA PHY-007098-IR)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
CHILDREN'S PHARMACY
4111 LAKE ST
LAKE CHARLES, LA 70605-4305
Phone number: 337-502-4873
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Mailing Address
CHILDREN'S PHARMACY
4111 LAKE ST
LAKE CHARLES, LA 70605-4305
Phone number: 337-502-4873
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