Louvella H Granger in Lafayette - Compounding Pharmacy
Louvella H Granger - NPI 1194881466
Louvella H Granger is a Compounding Pharmacy in Lafayette, Louisiana. Louvella H Granger practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Louvella H Granger is 1194881466. The last update date is 2017-01-18.
Louvella H Granger's current location address is 3810 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3379818844 and fax number 3379818884. The mailing address for Louvella H Granger is 3810 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Louvella H Granger |
|---|---|
| Address | 3810 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3379818844 |
| Fax Number | 3379818884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHCS |
|---|---|
| Authorized Official Name | Granger Darrell |
| Credentials | RPH |
| Telephone Number | 3379818844 |
NPI Number Detail
| NPI Number | 1194881466 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | 3810 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705035259 |
| Phone Number | 3379818844 |
| Fax Number | 3379818884 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2035103 | PK |
Post Comment/ Review Below
What is the Louvella H Granger's 1194881466?
The Louvella H Granger's NPI (National Provider Identifier) Number is 1194881466. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Louvella H Granger is geographically located?
The Louvella H Granger is physically situated at the following location: 3810 Ambassador Caffery Pkwy, Lafayette, LA, 705035259.
What is the Louvella H Granger's specialty and taxonomy code?
The Louvella H Granger's specialty is Compounding Pharmacy, and the corresponding taxonomy code is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194881466 to Louvella H Granger?
The Centers for Medicare & Medicaid Services assigned the 1194881466 to Louvella H Granger on 2006-12-29.
As of what date was the information pertaining to Louvella H Granger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Louvella H Granger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-18.