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Organization
LANDRYS PHARMACY OF MAURICE INC
Active
Organization
LANDRYS PHARMACY OF MAURICE INC
Active
Other names
LANDRYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JODY LANDRY (PRESIDENT)
(337) 898-1015
Entity
Organization
Contact information
Practice address
106 MILTON RD, MAURICE, LA 70555
(337) 898-1015
(337) 898-1023
Mailing address
PO BOX 580, MAURICE, LA 70555-0580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY004828IR
LA
Other
Enumeration date
08/20/2006
Last updated
02/21/2017
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