Organization
B & J PITRE PHARMACY INC
Active
Other names
PITRES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE PITRE (PIC OWNER)
(985) 876-0507
Entity
Organization
Contact information
Practice address
13087 W MAIN ST, LAROSE, LA 70373-0067
(985) 693-7496
(985) 798-7997
Mailing address
PO BOX 67, LAROSE, LA 70373-0067
(985) 693-7496
(985) 798-7997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY000895
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234231
—
LA
01
—
2028910
PK
—
Enumeration date
07/30/2006
Last updated
11/25/2015
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