Organization
PBM SOLUTIONS COUSHATTA LLC
Active
Other names
Coushatta Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIPPE PUCHEU (OWNER/MANAGER)
(337) 738-4170
Entity
Organization
Contact information
Practice address
287 PANTHER TRAIL DR, KINDER, LA 70648
(337) 738-4170
(337) 738-4171
Mailing address
287 PANTHER TRAIL DR, KINDER, LA 70648
(337) 738-4170
(337) 738-4171
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007882
LOUISIANA PHARMACY PERMIT
LA
Enumeration date
04/17/2019
Last updated
03/07/2023
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