Provider Demographics
NPI:1598431454
Name:CARR DRUGS COMPOUNDING AND WELLNESS LLC
Entity Type:Organization
Organization Name:CARR DRUGS COMPOUNDING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:504-350-1640
Mailing Address - Street 1:91 WESTBANK EXPY STE 550
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3688
Mailing Address - Country:US
Mailing Address - Phone:504-350-1640
Mailing Address - Fax:504-350-1641
Practice Address - Street 1:91 WESTBANK EXPY STE 550
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3688
Practice Address - Country:US
Practice Address - Phone:504-350-1640
Practice Address - Fax:504-350-1641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1943225OtherNCPDP