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Organization
ICARE PHARMACY VEROT SCHOOL RD LLC
Active
Organization
ICARE PHARMACY VEROT SCHOOL RD LLC
Active
Other names
iCARE Pharmacy Verot School Rd LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE VEILLON (OWNER/MANAGER)
(337) 806-9835
Entity
Organization
Contact information
Practice address
626 VEROT SCHOOL RD, SUITE F, LAFAYETTE, LA 70508-5094
(337) 806-8395
Mailing address
104 DARWIN CIR, LAFAYETTE, LA 70508-7110
(337) 806-9385
(337) 806-9389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
7161
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151911
PK
—
Enumeration date
05/12/2015
Last updated
08/14/2015
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