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Lee Road Family Pharmacy INC.

Pharmacy, Community/Retail Pharmacy in Covington, LA. Organization (NPI-2).

NPI number1275918922
StatusActive
Last updated in NPPESJul 23, 2015

Details

NPI
1275918922
Entity type
Organization (NPI-2)
Legal business name
Lee Road Family Pharmacy INC.
Organization subpart
No
Enumeration date
Jul 23, 2015
Last updated
Jul 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy–LAYes

Practice location

19705 Highway 40
Covington, LA 70435-9316

Phone 504-382-8461

Mailing address

19705 Highway 40
Covington, LA 70435-9316

Phone 504-382-8461

Authorized official

Earl Glen Williams
President
5043828461

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