Organization
RXVIP LLC
Active
Other names
Rx-Vip
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PARKINS (MANAGING MEMBER, AO)
(985) 605-0265
Entity
Organization
Contact information
Practice address
2190 MANTON DR, COVINGTON, LA 70433-1000
(985) 605-0265
(985) 249-6823
Mailing address
PO BOX 4118, COVINGTON, LA 70434-4118
(985) 605-0265
(985) 249-6823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007283-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157584
PK
—
Enumeration date
01/13/2016
Last updated
01/17/2017
Update your record
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