# LANDRYS PHARMACY OF MAURICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LANDRYS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093820029
- **Authorized official:** JODY LANDRY (PRESIDENT)
- **Authorized official phone:** (337) 898-1015

## Contact information

- **Practice address:** 106 MILTON RD, MAURICE, LA 70555
- **Practice address phone:** (337) 898-1015
- **Practice address fax:** (337) 898-1023
- **Mailing address:** PO BOX 580, MAURICE, LA 70555-0580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY004828IR | LA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 02/21/2017