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Organization
PROFESSIONAL PLAZA PHARMACY INC
Active
Organization
PROFESSIONAL PLAZA PHARMACY INC
Active
Other names
PRESCRIPTION PAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE LE RPH (OWNER)
(504) 393-7734
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, STE 150, GRETNA, LA 70056-5255
(504) 393-7733
(504) 391-7336
Mailing address
120 MEADOWCREST ST, STE 150, GRETNA, LA 70056-5255
(504) 393-7733
(504) 391-7336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005443-IR
LA
Other
Enumeration date
12/28/2006
Last updated
12/10/2015
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