Organization

Brand Direct Health Llc

May also be knows as Brand Direct Health Llc

Community/Retail Pharmacy in Mandeville, LA(View on Map)

Legal Business Name

Brand Direct Health Llc

Also Known As

Brand Direct Health Llc

NPI Number

1982936886

NPI Type

Organization

Enumeration Date

02/03/2010

Specialties

(Taxonomies)

Code

3336C0003X
3336M0002X

Primary Taxonomy

Yes
No

Licenses

State

Louisiana

License Number

PHY-006723-IR

Contact
Information

Purpose

Mailing
Location

Address

68397 TAMMANY TRACE DR
68397 TAMMANY TRACE DR

City

Mandeville
Mandeville

State

LA
LA

Postal Code

70471-7776
70471-7776

Country

US
US

Telephone Number

(985) 809-8421
(985) 809-8421

Authorized Official

Name

Stephen Camp

Title or Position

PRESIDENT

Telephone Number

(985) 809-2181

Identifiers

Identifier

2141362

Identifier State

Unknown

Identifier Issuer

PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/20/2013

Provider Address

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