Organization
PEARL RIVER PHARMACY INC.
Active
Other names
Pearl River Pharmacy inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SUHASKUMAR PATEL (OWNER)
(224) 795-1395
Entity
Organization
Contact information
Practice address
64060 HIGHWAY 41, PEARL RIVER, LA 70452-3267
(985) 863-6444
(985) 863-6446
Mailing address
64060 HIGHWAY 41, PEARL RIVER, LA 70452-3267
(985) 863-6444
(985) 863-6446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY006876IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145425
PK
—
Enumeration date
04/25/2014
Last updated
10/22/2014
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