Organization
RIVER ROAD DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENIECE JEFFERSON (MANAGER/AUTHORIZED REP)
(504) 431-7647
Entity
Organization
Contact information
Practice address
6243 RIVER RD, AVONDALE, LA 70094-2647
(504) 431-7647
(504) 431-7650
Mailing address
6243 RIVER RD, SUITE D, AVONDALE, LA 70094-2647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
C005573IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233846
—
LA
01
—
1932690
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/22/2006
Last updated
09/11/2025
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