NPI 1962784991

Racelands Express, LLC

Organisation Community/Retail Pharmacy Raceland, LA

Practice location

Address: 4634 Highway 1 STE B, Raceland, LA 70394-2623
Phone: (985) 537-3303
Fax: (985) 537-3393
Mailing address: 161 Janet Dr, Avondale, LA 70094-2913

Authorised official

Name: Vincent Bui
Title: Pharmacist in Charge
Phone: (504) 296-7428

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PHY.006419-IR (LA)

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Registry record

NPI: 1962784991
Entity type: Organization
NPI issued: 15 Sep 2011
Record last updated: 15 Sep 2011

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.