Organization
CHRIS PHARMACY & GIFTS OF PORT VINCENT LLC
Active
Other names
Chris' Pharmacy in Port Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WILLIAMS (OWNER)
(225) 573-4578
Entity
Organization
Contact information
Practice address
18590 LA HIGHWAY 16 STE 2, PORT VINCENT, LA 70726-8066
(225) 698-6888
(225) 698-6889
Mailing address
PO BOX 328, ALBANY, LA 70711-0328
(225) 267-4350
(225) 267-4357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006627IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138026
PK
—
05
—
2201808
—
LA
Enumeration date
11/15/2012
Last updated
01/05/2022
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