# LOUVELLA H GRANGER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE COMPOUNDING CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194881466
- **Authorized official:** DARRELL GRANGER RPH (OWNER PHCST)
- **Authorized official phone:** (337) 981-8844

## Contact information

- **Practice address:** 3810 AMBASSADOR CAFFERY PKWY STE 200, LAFAYETTE, LA 70503-5259
- **Practice address phone:** (337) 981-8844
- **Practice address fax:** (337) 981-8884
- **Mailing address:** 3810 AMBASSADOR CAFFERY PKWY, STE 200, LAFAYETTE, LA 70503-5259
- **Mailing address phone:** (337) 981-8844
- **Mailing address fax:** (337) 981-8884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.005007-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 01/18/2017