Provider Information for 1194122440
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MULA FAMILY PHARMACY, LLC
Organization Subpart: NO
NPI: 1194122440
Last Updated: 2024-06-26
Certification Date: 2024-06-26
Certification Date: 2024-06-26
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194122440 | ||||||||||||||||
| Enumeration Date | 2014-12-02 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: Mr. MARK E MULA RPh Title: Pharmacist in Charge/Owner Phone: 3373851250 | ||||||||||||||||
| Mailing Address | 2619 CHARITY ST ABBEVILLE, LA 70510-4024 United States Phone: 337-385-1250 | Fax: | ||||||||||||||||
| Primary Practice Address | 2619 CHARITY ST ABBEVILLE, LA 70510-4024 United States Phone: 337-385-1250 | Fax:337-385-1247 | ||||||||||||||||
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