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1477197531
GREEN LEAF DISPENSARY LLC
HOUMA, LA
NPI
1477197531
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Entity Type
Organization
Authorized Contact
OMAR PECANTTE
President
985-360-3372
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
GREEN LEAF DISPENSARY LLC
6048 W PARK AVE
HOUMA, LA 70364-1808
Phone number: 985-360-3372
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Mailing Address
GREEN LEAF DISPENSARY LLC
PO BOX 782
HOUMA, LA 70361-0782
Phone number: 985-360-3372
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