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General NPI Number Information
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NPI Number | 1083084057
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Entity Type | Organization
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Legal Business Name | C & S FAMILY PHARMACY
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 1300 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70005-2733
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Country | US
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Telephone | 504-833-0195
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Fax | 504-833-0199
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Provider Business Mailing Address
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Address Line | 1300 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70005-2733
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Country | US
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Telephone | 504-833-0195
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Fax | 504-833-0199
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Authorized Official
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Title or Position | OWNER/PIC
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Name | KATHRYN CARDWELL
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Credential |
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Telephone | 504-234-1507
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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 | PHY.007187-IR
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License Number State | LA
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