Organization
MEADOWCREST PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE TRAN PD (OWNER/PHARMACIST)
(504) 323-2350
Entity
Organization
Contact information
Practice address
151 MEADOWCREST ST # A-1, GRETNA, LA 70056-5256
(504) 323-2350
(504) 301-0773
Mailing address
866 MARLENE DR, GRETNA, LA 70056-7642
(504) 323-2350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
7176-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204009
—
LA
01
—
7176-IR
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
09/10/2015
Last updated
06/13/2025
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