Organization
LARROQUE PHARMACY INC
Active
Other names
LARROQUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES LARROQUE (OWNER)
(337) 276-5001
Entity
Organization
Contact information
Practice address
1305 MAIN ST, JEANERETTE, LA 70544-3640
(337) 276-5001
(337) 276-4202
Mailing address
1305 MAIN ST, JEANERETTE, LA 70544-3640
(337) 276-5001
(337) 276-4202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY002587IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260495
—
LA
01
—
2028749
PK
—
Enumeration date
02/15/2007
Last updated
04/04/2017
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