Organization
RXVIP LA, LLC
Active
Other names
Rayne Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA K BOURQUE PHARMD (GENERAL MANAGER)
(337) 334-3399
Entity
Organization
Contact information
Practice address
913 THE BLVD, RAYNE, LA 70578-6134
(337) 334-3399
(337) 334-3339
Mailing address
913 THE BLVD, RAYNE, LA 70578-6134
(337) 334-3399
(337) 334-3339
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
12/23/2024
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