Organization
FALCON PHARMACY LLC
Active
Other names
Falcon Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HEBERT (PIC)
(337) 210-1248
Entity
Organization
Contact information
Practice address
1103 KALISTE SALOOM RD STE 103, LAFAYETTE, LA 70508-5783
(337) 210-1248
(337) 210-1249
Mailing address
1103 KALISTE SALOOM RD STE 103, LAFAYETTE, LA 70508-5783
(337) 210-1248
(337) 210-1249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6138-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1934656
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/06/2009
Last updated
08/06/2009
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