Organization
PECAN PARK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PLAUCHO (PRES)
(318) 448-4700
Entity
Organization
Contact information
Practice address
204 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 448-4700
(318) 448-6080
Mailing address
204 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
005344
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932018
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/31/2006
Last updated
09/11/2025
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