WINN DIXIE STORES INC
Suppliers at Airline Hwy, Destrehan, LA

License number
Louisiana PHY.006551-RC
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: M. SANDLIN GRIMM
Title: VICE PRESIDENT
Phone: (904) 783-5578
Address
Address 2
12519 Airline Hwy STE A, Destrehan, LA 70047
PO Box 2209, Jacksonville, FL 32203
National Provider ID: 1104847482
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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