Racelands Express Llc

NPI 1164704102 - Pharmacy - 3336C0003X

NPI Details
NPI 1164704102
Enumeration Date 09/15/2011
Last Updated 12/17/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VINCENT VINCENT
Position PHARMACIST IN CHARGE
Phone (985) 537-3303
Fax (985) 537-3393
Practice Location
4634 HIGHWAY 1 STE B
RACELAND LA, 70394-2623, US
Phone (985) 537-3303
Fax (985) 537-3393
Business Location
161 JANET DR
AVONDALE LA, 70094-2913, US
Phone (504) 296-7428
Fax (985) 537-3393
Toxanomy
Taxonomy Code 3336C0003X
License State Louisiana
License Number 6419-IR
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According to our database, Racelands Express Llc NPI is 1164704102, taxonomy code is 3336C0003X and license number is 6419-IR, license state is located at Louisiana. Racelands Express Llc physically located at 4634 Highway 1 Ste B, Raceland LA, 70394-2623. NPI Number 1033115704 has the healthcare provider type.

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1164704102 NPI number is provided on an as is basis without warranty of any kind. 1164704102 is maintained by the National Plan & Provider Enumeration System. The contents of Racelands Express Llc are for informational purposes only.