Provider Demographics
NPI:1265467757
Name:KRILO ENTERPRISES, LLC
Entity Type:Organization
Organization Name:KRILO ENTERPRISES, LLC
Other - Org Name:THE MEDICINE CABINET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBICHAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-446-2900
Mailing Address - Street 1:402 N CANAL BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-2956
Mailing Address - Country:US
Mailing Address - Phone:985-446-2900
Mailing Address - Fax:
Practice Address - Street 1:402 N CANAL BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-2956
Practice Address - Country:US
Practice Address - Phone:985-446-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5682 IR183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty