# ELVIN REED & PHYLLIS VIDRINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reed's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265856058
- **Authorized official:** PHYLLIS VIDRINE (OWNER)
- **Authorized official phone:** (337) 468-5207

## Contact information

- **Practice address:** 1009 6TH ST, MAMOU, LA 70554-3123
- **Practice address phone:** (337) 468-5207
- **Practice address fax:** (337) 468-5932
- **Mailing address:** 1009 6TH ST, MAMOU, LA 70554-3123
- **Mailing address phone:** (337) 468-5207
- **Mailing address fax:** (337) 468-5932

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014