Organization
INNOVATIVE EXPRESS PHARMACY LLC
Active
Parent organization
INNOVATIVE EXPRESS PHARMACY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE EXPRESS PHARMACY LLC
Authorized official
DR. ILYAS MUNSHI MD (OWNER)
(337) 234-5344
Entity
Organization
Contact information
Practice address
99 W MARTIAL AVE, LAFAYETTE, LA 70508-6583
(337) 408-8003
(337) 267-3293
Mailing address
PO BOX 82510, LAFAYETTE, LA 70598-2510
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
LA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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