Organization
PRIDE PLAZA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA H HEGWOOD RPH (PHARMACIST OWNER)
(337) 237-4571
Entity
Organization
Contact information
Practice address
850 N PIERCE ST, LAFAYETTE, LA 70501-2848
(333) 237-4571
(337) 237-1956
Mailing address
850 N PIERCE ST, LAFAYETTE, LA 70501-2848
(333) 237-4571
(337) 237-1956
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2446 IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259691
—
LA
01
—
1924085
NABP
—
Enumeration date
04/02/2007
Last updated
08/22/2020
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