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General NPI Number Information
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NPI Number | 1073683173
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Entity Type | Organization
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Legal Business Name | PICOU'S DRUG STORE INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 260 N 2ND ST
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City | EUNICE
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State | LA
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Zip | 70535-3338
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Country | US
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Telephone | 337-457-2218
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Fax | 337-457-8098
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | EUNICE
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State | LA
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Zip | 70535-0607
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Country | US
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Telephone | 337-457-2218
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Fax | 337-457-8098
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | CHRISTINA ELIZABETH BROWN
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Credential | PHARM.D.
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Telephone | 337-457-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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