Organization
P & C HEALTHCARE LLC
Active
Other names
Lagniappe Pharmacy 4, GALVEZ TOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ANTHONY PETERS PHARM.D. (OWNER)
(225) 622-4817
Entity
Organization
Contact information
Practice address
40017 HIGHWAY 42, SUITE D, PRAIRIEVILLE, LA 70769-5240
(225) 622-4817
(225) 622-5229
Mailing address
40017 HIGHWAY 42, SUITE D, PRAIRIEVILLE, LA 70769-5240
(225) 622-4817
(225) 622-5229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3117IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262501
—
LA
01
—
2033306
PK
—
Enumeration date
09/07/2006
Last updated
06/16/2018
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