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Organization
LAGNIAPPE PHARMACY 6, LLC
Active
Organization
LAGNIAPPE PHARMACY 6, LLC
Active
Other names
MEDICINNE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PETERS (OWNER/MANAGING MEMBER)
(225) 810-7778
Entity
Organization
Contact information
Practice address
1717 S UNION ST, SUITE 2, OPELOUSAS, LA 70570-5745
(337) 948-7703
(337) 948-9975
Mailing address
1717 S UNION ST STE 2, OPELOUSAS, LA 70570-5745
(337) 948-7703
(337) 948-9975
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
C002686IR
LA
3336L0003X
Long Term Care Pharmacy
PHY.002686-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1924744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2208446
—
LA
Enumeration date
08/31/2006
Last updated
09/02/2025
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