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Organization
MELVILLE PHARMACY AND GIFT SHOPPE INC
Active
Organization
MELVILLE PHARMACY AND GIFT SHOPPE INC
Active
Other names
St. Landry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MENGARELLI RPH (OWNER)
(337) 623-9964
Entity
Organization
Contact information
Practice address
6637 HIGHWAY 10, WASHINGTON, LA 70589
(337) 623-9992
(337) 623-9964
Mailing address
6637 HIGHWAY 10, WASHINGTON, LA 70589
(337) 623-9992
(337) 623-9964
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002980-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261904
—
LA
01
—
2033279
PK
—
Enumeration date
01/08/2007
Last updated
11/23/2016
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