Organization
FOURCO INC
Active
Other names
FOURNETS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK FOURNET PD (OWNER)
(337) 828-3392
Entity
Organization
Contact information
Practice address
1524 HOSPITAL AVE, FRANKLIN, LA 70538-3723
(337) 828-3392
(337) 828-3414
Mailing address
PO BOX 323, FRANKLIN, LA 70538-0323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY000379-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216364
—
LA
01
—
1905302
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
10/27/2011
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