Organization
PRESCRIPTION SHOPPE LLC
Active
Other names
Pleasant's Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PLEASANT (OWNER)
(318) 396-1985
Entity
Organization
Contact information
Practice address
2991 CYPRESS ST, WEST MONROE, LA 71291-5337
(318) 396-1985
(318) 396-1941
Mailing address
2991 CYPRESS ST, WEST MONROE, LA 71291-5337
(318) 396-1985
(318) 396-1941
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY.007293-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159811
PK
—
Enumeration date
05/11/2016
Last updated
01/18/2017
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