Poinciana Clinic Pharmacy

NPI 1033284617 - Pharmacy - 333600000X

NPI Details
NPI 1033284617
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERRY TERRY
Position OWNER
Phone (337) 468-5001
Fax (337) 468-5102
Practice Location
1508 CAJUN DR
STE A
MAMOU LA, 70554-2400, US
Phone (337) 468-5001
Fax (337) 468-5102
Business Location
1508 CAJUN DR
STE A
MAMOU LA, 70554-2400, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State Louisiana
License Number 1688RI
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According to our database, Poinciana Clinic Pharmacy NPI is 1033284617, taxonomy code is 333600000X and license number is 1688RI, license state is located at Louisiana. Poinciana Clinic Pharmacy physically located at 1508 Cajun Dr, Mamou LA, 70554-2400. NPI Number 1033115704 has the healthcare provider type.

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1033284617 NPI number is provided on an as is basis without warranty of any kind. 1033284617 is maintained by the National Plan & Provider Enumeration System. The contents of Poinciana Clinic Pharmacy are for informational purposes only.