Organization
VIALLON DRUG CO OF DONALDSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY VIALLON RPH (OWNER)
(225) 931-9237
Entity
Organization
Contact information
Practice address
309 MARCHAND DR, DONALDSONVILLE, LA 70346-3242
(225) 725-4288
(225) 725-4156
Mailing address
309 MARCHAND DR, DONALDSONVILLE, LA 70346-3242
(225) 725-4288
(225) 725-4156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDS.057716-PHY
CONTROLLED SUBSTANCE DISPENSING LICENSE
LA
01
—
PHY.008122-IR
LOUISIANA BOARD OF PHARMACY PERMIT
LA
Enumeration date
07/20/2020
Last updated
07/20/2020
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