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Organization
RICHARD MEDICAL CLINIC INC
Active
Organization
RICHARD MEDICAL CLINIC INC
Active
Other names
ACADIANA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNIA WILLIS PHARMACIST (OWNER)
(337) 942-1400
Entity
Organization
Contact information
Practice address
507 N MARKET ST, OPELOUSAS, LA 70570-5279
(337) 942-1400
(337) 942-5595
Mailing address
507 N MARKET ST, OPELOUSAS, LA 70570-5279
(337) 942-1400
(337) 942-5595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY002222IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258270
—
LA
01
—
2032372
PK
—
Enumeration date
08/31/2006
Last updated
10/18/2022
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