Organization
THE DRUG STORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA MURPHY PREJEAN R.PH. (PHARMACIST OWNER)
(337) 855-1990
Entity
Organization
Contact information
Practice address
857 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5504
(337) 855-1990
(337) 855-1901
Mailing address
857 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5504
(337) 855-1990
(337) 855-1901
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005324-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271870
—
LA
01
—
1931927
NCPDP
—
01
—
C005324IR
PHARMACY REGISTRATION NUM
LA
Enumeration date
11/08/2006
Last updated
03/07/2023
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