Organization
RAWLS PHARMACY LLC
Active
Other names
Rawls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY RAWLS (PHARMACIST)
(985) 877-4700
Entity
Organization
Contact information
Practice address
36009 HIGHWAY 38, MOUNT HERMON, LA 70450-6534
(985) 877-4700
(985) 877-4701
Mailing address
36009 HIGHWAY 38, MOUNT HERMON, LA 70450-6534
(985) 877-4700
(985) 877-4701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006306-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126770
PK
—
05
—
2200399
—
LA
Enumeration date
08/10/2010
Last updated
10/15/2014
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