Organization
THE PRESCRIPTION SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON EDWARD HERPIN (OWNER)
(337) 643-6493
Entity
Organization
Contact information
Practice address
308 N CUSHING AVE, KAPLAN, LA 70548-4122
(337) 643-6493
(337) 643-6495
Mailing address
PO BOX 324, 308 NORTH CUSHING, KAPLAN, LA 70548-0324
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
1100
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1241261
—
LA
01
—
1903029
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/13/2005
Last updated
04/01/2008
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