IDEAL HEALTH MART PHARMACY INC

DERIDDER, LA
NPI1568510030
Entity TypeOrganization
Authorized ContactKESA LANE
Rph/Owner
337-463-7210
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: LA  006477)
Enumeration Date2007-01-08
Last Update Date2014-05-16
Business Address
IDEAL HEALTH MART PHARMACY INC
610 N PINE ST
DERIDDER, LA 70634-3546
Phone number: 337-463-7210
Mailing Address
IDEAL HEALTH MART PHARMACY INC
610 N PINE ST
DERIDDER, LA 70634-3546
Phone number: 337-463-7210
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