Organization
RX REMEDIES
Active
Other names
RX REMEDIES VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL STAFFORD II RPH (OWNER PHARMACIST)
(985) 515-3527
Entity
Organization
Contact information
Practice address
1809 MAIN ST STE B, FRANKLINTON, LA 70438-3619
(985) 839-4384
(985) 839-4359
Mailing address
PO BOX 771, FRANKLINTON, LA 70438-0771
(985) 515-3527
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY 006012-IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY 006012-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1227811
—
LA
Enumeration date
07/28/2008
Last updated
10/21/2024
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