Organization
RXVIP LA 3 LLC
Active
Other names
PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE PRIMEAUX (PHARMACIST IN CHARGE)
(337) 806-9000
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-7266
(337) 806-9000
(337) 806-9074
Mailing address
4811 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-7266
(337) 806-9000
(337) 806-9074
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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