Port Allen Supermarket INC

NPI #1538180500 in Port Allen, Louisiana

Provider Information

NPI Number
1538180500
Entity Type
Organization
Organization Name
Port Allen Supermarket INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 22, 2006
Last Updated
Jun 19, 2008

Practice Location

Address
220 N ALEXANDER AVE
ZIP Code
70767-2514
Phone
(225) 343-7855

Authorized Official

Name
RONALD INKROTT, RPH
Title
PHARMACIST
Phone
(225) 343-7855

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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