Organization
RX PROS INC
Active
Other names
Sterlington Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HOTARD (PRESIDENT)
(318) 812-2305
Entity
Organization
Contact information
Practice address
10374 HIGHWAY 165 N STE C, STERLINGTON, LA 71280
(318) 812-2305
(318) 665-0092
Mailing address
10374 HIGHWAY 165 N STE C, STERLINGTON, LA 71280-3320
(318) 812-2305
(318) 665-0092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007355-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121122
PK
—
Enumeration date
08/04/2009
Last updated
06/01/2018
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