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Organization

BRN INC.

Active
Other names
Plaza Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANE A. TATMAN R.PH (PHARMACIST IN CHARGE)
(337) 948-6507
Entity
Organization

Contact information

Practice address
1200 HOSPITAL DR, SUITE 1, OPELOUSAS, LA 70570-6552
(337) 948-6507
(337) 948-8624
Mailing address
1200 HOSPITAL DR, SUITE 1, OPELOUSAS, LA 70570-6552
(337) 948-6507
(337) 948-8624

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5469-IR
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1274348
LA
Enumeration date
02/21/2007
Last updated
08/22/2020
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