Organization
PATRIOT RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI LEANN BRYCE RPH (PHARMACIST IN CHARGE)
(225) 405-5418
Entity
Organization
Contact information
Practice address
5500 FIRE STATION RD STE C&D, ZACHARY, LA 70791-7468
(225) 451-5807
Mailing address
5500 FIRE STATION RD STE C&D, ZACHARY, LA 70791-7468
(225) 451-5807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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