Organization
PRESCRIPTION SHOPPE, LLC
Active
Other names
Amy's Prescription Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY N PLEASANT RPH (PHARMACIST OWNER)
(318) 255-7363
Entity
Organization
Contact information
Practice address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
Mailing address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
007293RC
LA
3336C0004X
Compounding Pharmacy
Primary
007293RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274968
—
LA
Enumeration date
11/03/2006
Last updated
04/28/2016
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