Healthcare Provider Details
I. General information
NPI: 1457427551
Provider Name (Legal Business Name): PRYCES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
331 ENTERPRISE BLVD
LAKE CHARLES LA
70601-3240
US
IV. Provider business mailing address
PO BOX 1323
LAKE CHARLES LA
70602-1323
US
V. Phone/Fax
- Phone: 337-433-9482
- Fax: 337-433-2822
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 917IR |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
PRYCE
Title or Position: PRESIDENT MGR
Credential:
Phone: 337-433-9482