Poinciana Pharmacy LLC

NPI #1811219827 in Mamou, Louisiana

Provider Information

NPI Number: 1811219827
Entity Type: Organization
Organization Name: Poinciana Pharmacy LLC
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: Feb 17, 2010
Last Updated: May 2, 2025

Practice Location

Address: 1508 CAJUN DR STE A
City: Mamou
State: Louisiana
ZIP Code: 70554-2400
Phone: (337) 468-5001

Authorized Official

Name: MR. ROBIN M DESHOTEL, RPH
Title: PIC
Phone: (337) 468-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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