| NPI | 1063751964 |
|---|---|
| Doing Business As | PRAIRIEVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARC SCHEXNAILDER Pharmacy Manager 225-677-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY006653IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2016-11-22 |