North Caddo Drug

NPI #1285710236 in Vivian, Louisiana

Provider Information

NPI Number: 1285710236
Entity Type: Organization
Organization Name: North Caddo Drug
Primary Specialty: Pharmacist
Enumeration Date: Oct 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 144 W LOUISIANA AVENUE
City: Vivian
State: Louisiana
ZIP Code: 71082-2836
Phone: (318) 375-2573

Authorized Official

Name: JACK KALEEL
Title: OWNER
Phone: (318) 375-2573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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