Organization
VILLAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIZABETH COX BLACKWELL PD (CEO)
(318) 647-5786
Entity
Organization
Contact information
Practice address
308 DAVENPORT AVE, MER ROUGE, LA 71261
(318) 647-5786
(318) 647-3539
Mailing address
308 DAVENPORT AVE, BOX 165, MER ROUGE, LA 71261
(318) 647-5786
(318) 647-3539
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1475IR
LA
333600000X
Pharmacy
1475IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
1475IR
LA
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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