Organization
ACADIANA PRESCRIPTION SHOP SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL ALAN FRUGE' (OWNER)
(337) 233-4017
Entity
Organization
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY.,BLDG 3, SUITE B, LAFAYETTE, LA 70508
(337) 233-4017
(337) 233-4048
Mailing address
454 HEYMANN BLVD, LAFAYETTE, LA 70503-2600
(337) 233-4017
(337) 233-4048
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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