Vidrine Pharmaceutical Group, Llc
Compounding Pharmacy
404 E Prien Lake Rd, Lake Charles
Louisiana, 70601-8507
337-436-7216 Vidrine Pharmaceutical Group, Llc is not a DME supplier for medicare equipments and products.
Vidrine Pharmaceutical Group, Llc is a Compounding Pharmacy in Lake Charles, Louisiana. This organization is also known as sub part of Vidrine Pharmaceutical Group, Llc. It is located at 404 E Prien Lake Rd, Lake Charles and it's customer support contact number is 337-436-7216. The authorized person of Vidrine Pharmaceutical Group, Llc is Mr. Jesse Vidrine who is Owner of the pharmacy and his contact number is 337-436-7216.
Vidrine Pharmaceutical Group, Llc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Vidrine Pharmaceutical Group, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Vidrine Pharmaceutical Group, Llc |
| Type: | Compounding Pharmacy |
| Location: | 404 E Prien Lake Rd, Lake Charles, Louisiana, 70601-8507 |
| Phone: | 337-436-7216 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jesse Vidrine |
| Position: | Owner |
| Contact Number: | 337-436-7216 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1043838469 |
| Parent Organization: | Vidrine Pharmaceutical Group, Llc |
| NPI Enumeration Date: | 13 Jul, 2020 |
| NPI Last Update On: | 17 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vidrine Pharmaceutical Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 404 E Prien Lake Rd, Lake Charles, Louisiana |
| Zip: | 70601-8507 |
| Phone Number: | 337-436-7216 |
Patients can reach Vidrine Pharmaceutical Group, Llc at
404 E Prien Lake Rd, Lake Charles, Louisiana or can
call on customer care at 337-436-7216.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.