Lagniappe Pharmacy
Pharmacy, Community/Retail Pharmacy in Gonzales, LA. Organization (NPI-2).
NPI number1356743751
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1356743751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lagniappe Pharmacy
- Organization subpart
- No
- Enumeration date
- Sep 17, 2014
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 006957 | LA | Yes |
Practice location
14639 Airline Hwy.Suite 114
Gonzales, LA 70737
Phone 225-402-4084 · Fax 225-402-4088
Mailing address
14639 Airline Hwy.Suite 114
Gonzales, LA 70737
Phone 225-402-4084 · Fax 225-402-4088
Authorized official
Eric Anthony Peters
Owner
2254024084
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All 14 Community/Retail Pharmacy providers in Gonzales · All 969 providers in Gonzales
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