# RXVIP LA 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831931534
- **Authorized official:** SHANE PRIMEAUX (PHARMACIST IN CHARGE)
- **Authorized official phone:** (337) 806-9000

## Contact information

- **Practice address:** 4811 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-7266
- **Practice address phone:** (337) 806-9000
- **Practice address fax:** (337) 806-9074
- **Mailing address:** 4811 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-7266
- **Mailing address phone:** (337) 806-9000
- **Mailing address fax:** (337) 806-9074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024