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Contact Information

LANDRYS PHARMACY OF MAURICE INC
106 MILTON RD
MAURICE, LA70555
 Phone: 337-898-1015
 Fax: 337-898-1023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LANDRYS PHARMACY OF MAURICE INC

NPI Number 1093820029
LBN Legal business name LANDRYS PHARMACY OF MAURICE INC
Authorized official JODY LANDRY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 02/21/2017 - About 9 years ago
Identifiers
LA License # PHY004828IR
LA Medicaid 1269239
Other 2032993 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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