# PF SPAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAULS PHARMACY, Paul's Pharmacy Independence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114000296
- **Authorized official:** AMBER MICHELLE GAGNEAUX (SUPERVISOR)
- **Authorized official phone:** (985) 878-4401

## Contact information

- **Practice address:** 345 W RAILROAD AVE, INDEPENDENCE, LA 70443-2292
- **Practice address phone:** (985) 878-4401
- **Practice address fax:** (985) 878-3657
- **Mailing address:** PO BOX 850, INDEPENDENCE, LA 70443-0850
- **Mailing address phone:** (985) 878-4401
- **Mailing address fax:** (985) 878-3657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.000204-IR | LA | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/19/2022