in Zachary - Pharmacy

- NPI 1154588994

is a Pharmacy in Zachary, Louisiana. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for is 1154588994. The last update date is .

's current location address is 5061 Main St, Zachary, Louisiana. You can contact this provider via phone number 2256541335 and fax number 2256546195. The mailing address for is 5061 Main St, Zachary, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 5061 Main St, Zachary, Louisiana
Phone Number 2256541335
Fax Number 2256546195
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1154588994
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 5061 Main St
City Zachary
State Louisiana (LA)
Post Code 707913947
Phone Number 2256541335
Fax Number 2256546195

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 6010
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2555048 MS --
1227684 LA --
1933818 NCPDP

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