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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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