# PEARL RIVER PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pearl River Pharmacy inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841610151
- **Authorized official:** SUHASKUMAR PATEL (OWNER)
- **Authorized official phone:** (224) 795-1395

## Contact information

- **Practice address:** 64060 HIGHWAY 41, PEARL RIVER, LA 70452-3267
- **Practice address phone:** (985) 863-6444
- **Practice address fax:** (985) 863-6446
- **Mailing address:** 64060 HIGHWAY 41, PEARL RIVER, LA 70452-3267
- **Mailing address phone:** (985) 863-6444
- **Mailing address fax:** (985) 863-6446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY006876IR | LA | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 10/22/2014