Organization
MEDICINE BIN PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASHUNDA ROSETTE GREEN PHARMD (PHARMACIST/OWNER)
(337) 351-0822
Entity
Organization
Contact information
Practice address
1105 WEST WILLOW ST, LAFAYETTE, LA 70501
(337) 408-8800
(337) 408-8822
Mailing address
412 AZELINE DR, OPELOUSAS, LA 70570-9202
(337) 408-8800
(337) 408-8822
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204734
—
LA
Enumeration date
08/28/2016
Last updated
11/10/2016
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