Healthcare Provider Details

I. General information

NPI: 1033508544
Provider Name (Legal Business Name): RAYS PHARMACY 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4629 SHREVEPORT HWY
PINEVILLE LA
71360-3830
US

IV. Provider business mailing address

4629 SHREVEPORT HWY
PINEVILLE LA
71360-3830
US

V. Phone/Fax

Practice location:
  • Phone: 318-640-5882
  • Fax: 318-640-8784
Mailing address:
  • Phone: 318-640-5882
  • Fax: 318-640-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY007049IR
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LACROIX
Title or Position: PRESIDENT
Credential: CPHT
Phone: 318-640-5882