Organization · NPI-2

Acadiana Prescription Shop

Pharmacy · Lafayette, LA

NPI number1841369055
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1841369055
Entity type
Organization (NPI-2)
Legal business name
Acadiana Prescription Shop
Organization subpart
No
Enumeration date
Nov 6, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy5036IRLAYes

Practice location

454 Heymann Blvd
Lafayette, LA 70503-2617

Phone 337-233-4017 · Fax 337-233-4048

Mailing address

454 Heymann Blvd
Lafayette, LA 70503-2617

Phone 337-233-4017 · Fax 337-233-4048

Authorized official

Joel Alan Fruge
Owner
3372334017

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