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General NPI Number Information
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NPI Number | 1215014857
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Entity Type | Organization
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Legal Business Name | GREMILLIONS DRUG STORE INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 401 N PARKERSON AVE
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City | CROWLEY
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State | LA
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Zip | 70526-5004
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Country | US
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Telephone | 337-783-5755
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Fax | 337-783-6031
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Provider Business Mailing Address
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Address Line | 401 N PARKERSON AVE
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City | CROWLEY
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State | LA
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Zip | 70526-5004
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Country | US
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Telephone | 337-783-5755
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Fax | 337-783-9943
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LAURA ROSENBAUM
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Credential |
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Telephone | 337-783-5755
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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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