Organization
SHUTE'S PHARMACY LLC
Active
Other names
Shute's Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWANNA M WERGER RPH/PIC (OWNER)
(337) 942-2611
Entity
Organization
Contact information
Practice address
205 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-2611
(337) 942-8640
Mailing address
205 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-2611
(337) 942-8640
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1013-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238651
—
LA
Enumeration date
03/06/2007
Last updated
11/17/2020
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