# MEDICINE SHOPPE OF GREATER BR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124190913
- **Authorized official:** STEVE HARRIS RPH (PHARMACIST)
- **Authorized official phone:** (225) 644-3030

## Contact information

- **Practice address:** 1817 S BURNSIDE AVE, GONZALES, LA 70737-4429
- **Practice address phone:** (225) 644-3030
- **Practice address fax:** (225) 647-2706
- **Mailing address:** 1817 S BURNSIDE AVE, GONZALES, LA 70737-4429
- **Mailing address phone:** (224) 644-3030
- **Mailing address fax:** (225) 647-2706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 2414IR | LA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/07/2023