Organization
TIGER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN T TRAHAN (PRESIDENT)
(337) 704-0114
Entity
Organization
Contact information
Practice address
109A PARK WEST DR, SUITE 1, SCOTT, LA 70583-8902
(337) 262-0189
(337) 593-9751
Mailing address
109A PARK WEST DR, SUITE 1, SCOTT, LA 70583-8902
(337) 262-0189
(337) 593-9751
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5552-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233871
—
LA
Enumeration date
05/10/2006
Last updated
02/05/2010
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