Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poinciana Pharmacy LLC

Organization Pharmacy · NPI 1811219827

Poinciana Pharmacy LLC is a Pharmacy in Mamou, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 Cajun Dr Ste A
Mamou, LA 70554-2400
Phone: (337) 468-5001
Fax: (337) 468-5102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY.006222-IR (LA)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence PHY.006222-IR (LA)

Record details

NPI number1811219827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Deshotel — Pic · (337) 468-5001
Other names Poinciana Pharmacy
NPI enumeratedFebruary 17, 2010
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address1508 Cajun Dr, Ste A, Mamou, LA 70554-2400

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