# PRAIRIEVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairieville Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063751964
- **Authorized official:** MARC SCHEXNAILDER (PHARMACY MANAGER)
- **Authorized official phone:** (225) 677-7979

## Contact information

- **Practice address:** 16270 AIRLINE HWY, STE A-100, PRAIRIEVILLE, LA 70769-4589
- **Practice address phone:** (225) 677-7979
- **Practice address fax:** (225) 677-7990
- **Mailing address:** 16270 AIRLINE HWY, STE A-100, PRAIRIEVILLE, LA 70769-4589
- **Mailing address phone:** (225) 677-7979
- **Mailing address fax:** (225) 677-7990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY006653IR | LA | Yes |

## Other

- **Enumeration date:** 02/12/2013
- **Last updated:** 11/22/2016