GREEN LEAF DISPENSARY LLC

HOUMA, LA
NPI1477197531
Entity TypeOrganization
Authorized ContactOMAR PECANTTE
President
985-360-3372
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2019-11-01
Last Update Date2019-11-01
Business Address
GREEN LEAF DISPENSARY LLC
6048 W PARK AVE
HOUMA, LA 70364-1808
Phone number: 985-360-3372
Mailing Address
GREEN LEAF DISPENSARY LLC
PO BOX 782
HOUMA, LA 70361-0782
Phone number: 985-360-3372