# MANSFIELD DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MANSFIELD DRUG COMPANY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215034053
- **Authorized official:** HELEN DUCOTE (SECRETARY/OWNER)
- **Authorized official phone:** (318) 872-1933

## Contact information

- **Practice address:** 132 JEFFERSON ST, MANSFIELD, LA 71052-2602
- **Practice address phone:** (318) 872-1933
- **Practice address fax:** (318) 872-5816
- **Mailing address:** PO BOX 1329, MANSFIELD, LA 71052-1329
- **Mailing address phone:** (318) 872-1933
- **Mailing address fax:** (318) 872-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006935-IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/27/2014