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Organization
PROVINCE PHARMACY INC
Active
Organization
PROVINCE PHARMACY INC
Active
Other names
PROVINCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONA PATEL PHARMD (PHARMACY MANAGER)
(337) 534-0615
Entity
Organization
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY STE B, LAFAYETTE, LA 70508-6984
(337) 534-0315
(337) 534-0616
Mailing address
5000 AMBASSADOR CAFFERY PKWY STE B, LAFAYETTE, LA 70508-6984
(337) 534-0615
(337) 534-0616
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/26/2018
Last updated
06/04/2025
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