# LAFAYETTE GENERAL MEDICAL CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAFAYETTE GENERAL MEDICAL CENTER INC
- **Other names:** Lafayette General Medical Center Retail Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023638715
- **Legal business name:** LAFAYETTE GENERAL MEDICAL CENTER INC
- **Authorized official:** MR. PATRICK W. GANDY (CEO)
- **Authorized official phone:** (337) 289-7743

## Contact information

- **Practice address:** 1214 COOLIDGE BLVD FL 1, LAFAYETTE, LA 70503-2621
- **Practice address phone:** (337) 289-8812
- **Practice address fax:** (337) 289-8813
- **Mailing address:** PO BOX 54287, NEW ORLEANS, LA 70154-4287
- **Mailing address phone:** (337) 289-8812
- **Mailing address fax:** (337) 289-8813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 11/30/2021