# RX CARE OF LA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972722825
- **Authorized official:** JESSICA RIVERA (LICENSING SPECIALIST)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 202 SOUTH AVE, STE A, VIVIAN, LA 71082-3209
- **Practice address phone:** (318) 375-3784
- **Practice address fax:** (318) 375-5009
- **Mailing address:** 5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
- **Mailing address phone:** (813) 304-2221
- **Mailing address fax:** (888) 239-8423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY6524 | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 07/10/2020