# ISLAND INSTITUTIONAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** island institutional pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033268750
- **Authorized official:** MR. A GIRAULT BIRD PHARMACIST (OWNER)
- **Authorized official phone:** (318) 389-5807

## Contact information

- **Practice address:** 313 CHISUM STREET, POB 38, SICILY ISLAND, LA 71368-0038
- **Practice address phone:** (318) 389-5807
- **Mailing address:** 313 CHISUM STREET, ISLAND INSTITUTIONAL PHARMACY, POB 38, SICILY ISLAND, LA 71368-0038
- **Mailing address phone:** (318) 389-5807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 9223 | LA | — |
| 3336I0012X | Institutional Pharmacy | 5055-IR | LA | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1269891 | — | LA |