Organization
ROUSES ENTERPRISES LLC
Active
Other names
ROUSES MARKET #24
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ROYSTER R.PH. (OWNER/MNGNG MBR)
(985) 447-5998
Entity
Organization
Contact information
Practice address
1428 CRESCENT AVE, LOCKPORT, LA 70374-3106
(985) 532-2545
(985) 532-5567
Mailing address
PO BOX 5358, THIBODAUX, LA 70302-5358
(985) 447-5998
(985) 447-5563
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY003457IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263931
—
LA
01
—
2033622
PK
—
Enumeration date
10/12/2006
Last updated
06/27/2014
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