Organization
RACELANDS EXPRESS, LLC
Active
Other names
Raceland's Pharmacy Express
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT BUI (PHARMACIST IN CHARGE)
(504) 296-7428
Entity
Organization
Contact information
Practice address
4634 HIGHWAY 1 STE B, RACELAND, LA 70394-2623
(985) 537-3303
(985) 537-3393
Mailing address
161 JANET DR, AVONDALE, LA 70094-2913
(504) 296-7428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006419-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935812
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/15/2011
Last updated
09/15/2011
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