# PEARL RIVER RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evans Drug Mart
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043582711
- **Authorized official:** RAPHAEL MECHE (PRESIDENT)
- **Authorized official phone:** (337) 334-3399

## Contact information

- **Practice address:** 64288 HIGHWAY 41, PEARL RIVER, LA 70452-3602
- **Practice address phone:** (985) 863-3100
- **Practice address fax:** (985) 863-0790
- **Mailing address:** PO BOX 578, RAYNE, LA 70578-0578
- **Mailing address phone:** (337) 334-9979
- **Mailing address fax:** (337) 334-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006460-IR | LA | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/19/2017