| NPI | 1952314791 |
|---|---|
| Doing Business As | GLENNS FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT LE BAS PIC Owner 337-948-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY004110IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-07-19 |