Organization
LANES PHARMACY INC
Active
Other names
LANES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY LAVOI (PRES)
(337) 589-3011
Entity
Organization
Contact information
Practice address
1301 HORRIDGE ST, VINTON, LA 70668-4531
(337) 589-3011
(337) 589-3579
Mailing address
1301 HORRIDGE ST, VINTON, LA 70668-4531
(337) 589-3011
(337) 589-3579
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.004131-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266671
—
LA
01
—
1911569
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/03/2006
Last updated
10/18/2011
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