Organization
PF SPAM LLC
Active
Other names
PAULS PHARMACY LORANGER
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TRAPEN (MANAGER)
(985) 878-4401
Entity
Organization
Contact information
Practice address
54033 HIGHWAY 1062, LORANGER, LA 70446-3538
(985) 878-6622
(985) 878-6619
Mailing address
PO BOX 860, LORANGER, LA 70446-0860
(985) 878-6622
(985) 878-6619
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005922-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219827
—
LA
01
—
2035600
PK
—
Enumeration date
01/22/2008
Last updated
01/14/2020
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