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Organization
DESHOTELS DRUGS, INC
Active
Organization
DESHOTELS DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN FONTENOT RPH (PHARMACIST/OWNER)
(337) 468-5402
Entity
Organization
Contact information
Practice address
900 6TH ST, MAMOU, LA 70554-3122
(337) 468-5402
(337) 468-2719
Mailing address
900 6TH ST, MAMOU, LA 70554-3122
(337) 468-5402
(337) 468-2719
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.003144-IR
LA
3336L0003X
Long Term Care Pharmacy
PHY.003144-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262579
—
LA
Enumeration date
02/28/2007
Last updated
05/05/2025
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