Organization
ICARE PHARMACY VEROT SCHOOL RD LLC
Active
Other names
iCARE Pharmacy Verot School Rd LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE VEILLON (OWNER/MANAGER)
(337) 806-9835
Entity
Organization
Contact information
Practice address
626 VEROT SCHOOL RD, SUITE F, LAFAYETTE, LA 70508-5094
(337) 806-8395
Mailing address
104 DARWIN CIR, LAFAYETTE, LA 70508-7110
(337) 806-9385
(337) 806-9389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7161
LA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151911
PK
—
Enumeration date
05/12/2015
Last updated
08/14/2015
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