Organization
ACADIANA PRESCRIPTION SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL ALAN FRUGE RPH (OWNER)
(337) 233-4017
Entity
Organization
Contact information
Practice address
454 HEYMANN BLVD, LAFAYETTE, LA 70503-2617
(337) 233-4017
(337) 233-4048
Mailing address
454 HEYMANN BLVD, LAFAYETTE, LA 70503-2617
(337) 233-4017
(337) 233-4048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5036IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271039
—
LA
Enumeration date
11/06/2006
Last updated
08/22/2020
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