Organization
VIALLON DRUG CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY VIALLON RPH (PIC/OWNER)
(225) 545-2402
Entity
Organization
Contact information
Practice address
32555 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2402
(225) 545-2903
Mailing address
32555 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2402
(225) 545-2903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY.007416-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093727786
CURRENT NPI- MEDICAID IS REQUESTING WE GET A NEW ONE
LA
01
—
PHY.007416-IR
PHARMACY PERMIT NUMBER
LA
Enumeration date
02/23/2017
Last updated
03/07/2023
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