NPI 1073109633
Park Pharmacy LLC
Practice location
- Address
- 4811 Ambassador Caffery Pkwy STE 101, Lafayette, LA 70508-7266
- Phone
- (337) 806-9000
Authorised official
- Name
- Shane P Primeaux
- Title
- Pharmacist in Charge
- Phone
- (337) 806-9000
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1073109633
- Entity type
- Organization
- NPI issued
- 17 Dec 2020
- Record last updated
- 23 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.