Organization
FOURCO INC
Active
Other names
Fournet's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD FOURNET (CEO)
(337) 828-3392
Entity
Organization
Contact information
Practice address
516 CHURCH ST, PATTERSON, LA 70392
(985) 395-3346
(985) 395-1192
Mailing address
PO BOX 323, FRANKLIN, LA 70538-0323
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0006043IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1934086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/07/2008
Last updated
10/24/2008
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