Provider Demographics
NPI:1801325436
Name:RX4FUN INVESTMENTS, LLC
Entity type:Organization
Organization Name:RX4FUN INVESTMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-278-9409
Mailing Address - Street 1:309 OPUS ONE DR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7043
Mailing Address - Country:US
Mailing Address - Phone:337-278-9409
Mailing Address - Fax:337-839-8881
Practice Address - Street 1:802 ADAMS ST
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-2602
Practice Address - Country:US
Practice Address - Phone:318-435-7858
Practice Address - Fax:318-435-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPENDING3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy