in Rayne - Pharmacy

- NPI 1053578955

is a Pharmacy in Rayne, Louisiana. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for is 1053578955. The last update date is .

's current location address is 915 The Blvd, Rayne, Louisiana. You can contact this provider via phone number 3373349979. The mailing address for is 915 The Blvd, Rayne, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 915 The Blvd, Rayne, Louisiana
Phone Number 3373349979
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1053578955
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 915 The Blvd
City Rayne
State Louisiana (LA)
Post Code 705786134
Phone Number 3373349979
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 5107-IR
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
1270873 LA --

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