# MELVILLE PHARMACY AND GIFT SHOPPE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Landry Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043368095
- **Authorized official:** TERRY MENGARELLI RPH (OWNER)
- **Authorized official phone:** (337) 623-9964

## Contact information

- **Practice address:** 6637 HIGHWAY 10, WASHINGTON, LA 70589
- **Practice address phone:** (337) 623-9992
- **Practice address fax:** (337) 623-9964
- **Mailing address:** 6637 HIGHWAY 10, WASHINGTON, LA 70589
- **Mailing address phone:** (337) 623-9992
- **Mailing address fax:** (337) 623-9964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.002980-IR | LA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 11/23/2016