# DESTREHAN PHARMACY INC

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

## Provider details

- **NPI number:** 1154747525
- **Authorized official:** STEVEN PAUL FAUCHEAUX (MANAGER)
- **Authorized official phone:** (985) 764-1181

## Contact information

- **Practice address:** 3001 ORMOND BLVD, STE. A-1, DESTREHAN, LA 70047-2544
- **Practice address phone:** (985) 764-1181
- **Mailing address:** 3001 ORMOND BLVD, STE. A-1, DESTREHAN, LA 70047-2544
- **Mailing address phone:** (985) 764-1181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6844IR | LA | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014