Organization
MEDICINE SHOPPE OF GREATER BR INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HARRIS RPH (PHARMACIST)
(225) 644-3030
Entity
Organization
Contact information
Practice address
1817 S BURNSIDE AVE, GONZALES, LA 70737-4429
(225) 644-3030
(225) 647-2706
Mailing address
1817 S BURNSIDE AVE, GONZALES, LA 70737-4429
(224) 644-3030
(225) 647-2706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2414IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259659
—
LA
01
—
1923944
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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