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General NPI Number Information
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NPI Number | 1073534533
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Entity Type | Organization
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Legal Business Name | GLENN'S FAMILY PHARMACY INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 310 N. MAIN ST
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City | WASHINGTON
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State | LA
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Zip | 70589-0446
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Country | US
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Telephone | 337-826-3677
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Fax | 337-826-5070
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | WASHINGTON
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State | LA
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Zip | 70589-0446
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Country | US
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Telephone | 337-826-3677
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Fax | 337-826-5070
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Authorized Official
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Title or Position | PRESIDENT-PHARMACIST
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Name | MR. JAMES RONALD SEBASTIEN
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Credential |
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Telephone | 337-826-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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