Organization
BENOITS INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY FREED RPH (PIC)
(337) 783-9084
Entity
Organization
Contact information
Practice address
704 N PARKERSON AVE, CROWLEY, LA 70526-4355
(337) 783-9084
(337) 783-9085
Mailing address
704 N PARKERSON AVE, CROWLEY, LA 70526-4355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2542IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260355
—
LA
01
—
1924275
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
03/07/2023
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