Organization
PINE PRAIRIE PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART ENICKE RPH (PRESIDENT/PHARMACIST-IN-CHARGE)
(337) 599-2050
Entity
Organization
Contact information
Practice address
10711 VETERANS MEMORIAL HWY, PINE PRAIRIE, LA 70576
(337) 599-2050
(337) 599-2596
Mailing address
PO BOX 800, PINE PRAIRIE, LA 70576-0800
(337) 599-2050
(337) 599-2596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5075-IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270733
—
LA
Enumeration date
03/24/2006
Last updated
04/28/2025
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