# M C STANDARD DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STANDARD DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154435139
- **Authorized official:** CARLA PREJEAN RPH (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (985) 384-1467

## Contact information

- **Practice address:** 1120 8TH ST, MORGAN CITY, LA 70380-1955
- **Practice address phone:** (985) 384-1467
- **Practice address fax:** (985) 385-0709
- **Mailing address:** PO BOX 1717, MORGAN CITY, LA 70381-1717
- **Mailing address phone:** (985) 384-1467
- **Mailing address fax:** (985) 385-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006799-IR | LA | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 04/13/2017