Organization
PHARMACEUTICALS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL L VIALLON V RPH (PIC/ OWNER)
(225) 545-2277
Entity
Organization
Contact information
Practice address
32553 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2277
(225) 545-2903
Mailing address
32553 BOWIE ST, WHITE CASTLE, LA 70788-2503
(225) 545-2277
(225) 545-2903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY.007417-IR
LA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609889385
CURRENT NPI- MEDICAID MAKING US GET A NEW ONE
LA
01
—
PHY.007417-IR
PHARMACY PERMIT NUMBER
LA
Enumeration date
02/20/2017
Last updated
03/07/2023
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