Organization
SOUTHERN RX
Active
Other names
L & M Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL PATEL (OWNER)
(337) 365-1411
Entity
Organization
Contact information
Practice address
1033 ANDRE ST, NEW IBERIA, LA 70563-2161
(337) 365-1411
(337) 365-0932
Mailing address
1033 ANDRE ST, NEW IBERIA, LA 70563-2161
(337) 365-1411
(337) 365-0932
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205498
—
LA
Enumeration date
06/05/2023
Last updated
06/05/2023
Update your record
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