# MATTE'S PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063447787
- **Authorized official:** MR. BRUCE MICHAEL MATTE SR. RPH (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (318) 292-4570

## Contact information

- **Practice address:** 314 MAIN ST, MARION, LA 71260
- **Practice address phone:** (318) 292-4570
- **Practice address fax:** (318) 292-5606
- **Mailing address:** PO BOX 17, MARION, LA 71260-0017
- **Mailing address phone:** (318) 292-4570
- **Mailing address fax:** (318) 292-5606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY.000711-IR | LA | — |
| 3336C0003X | Community/Retail Pharmacy | 711-IR | LA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 04/11/2017