POINCIANA CLINIC PHARMACY
Pharmacy at Cajun Dr, Mamou, LA

License number
Louisiana 1688RI
Category
Suppliers
Type
Pharmacy
Owner
Name: TERRY SOILEAU PHRM
Title: OWNER
Phone: (337) 468-5001
Address
Address
1508 Cajun Dr STE A, Mamou, LA 70554
National Provider ID: 1033284617
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about POINCIANA CLINIC PHARMACY at bizstanding.com

POINCIANA CLINIC PHARMACY, INC

Mamou, LA

Status:
Inactive
Industry:
Pharmacy
Doing business as:
Poinciana Health Mart
Registration:
Mar 29, 1982
Phone:
(337) 468-5001 (Phone)
Addresses:
1508 Cajun Dr, Mamou, LA 70554 (Physical)
C/O Terry Glynn Soileau, Mamou, LA 70554 (Mailing)
State ID:
33754290D
Business type:
Business Corporation
Dr, Owner, Pharmacists:
Terry Glynn Soileau (President), 1701 Poinciana Ave, Mamou, LA 70554 (Physical),Glynn Soileau (President, Owner),Mark S. Triplett (Dr, Owner, Pharmacist)

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