Organization
GRAND COTEAU PRESCRIPTION SHOPPE & GROCERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WILLIS WILLIAMS II R.PH. (CHIEF PHARMACIST)
(337) 662-5777
Entity
Organization
Contact information
Practice address
512 MARTIN LUTHER KING JR. DR., GRAND COTEAU, LA 70541
(337) 662-5777
(337) 662-5789
Mailing address
PO BOX 1200, GRAND COTEAU, LA 70541-1200
(337) 662-5777
(337) 662-5789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1889-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCPDP
1920746
LA
Enumeration date
02/07/2007
Last updated
08/22/2020
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