# RICHARD MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACADIANA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336251297
- **Authorized official:** DAWNIA WILLIS PHARMACIST (OWNER)
- **Authorized official phone:** (337) 942-1400

## Contact information

- **Practice address:** 507 N MARKET ST, OPELOUSAS, LA 70570-5279
- **Practice address phone:** (337) 942-1400
- **Practice address fax:** (337) 942-5595
- **Mailing address:** 507 N MARKET ST, OPELOUSAS, LA 70570-5279
- **Mailing address phone:** (337) 942-1400
- **Mailing address fax:** (337) 942-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY002222IR | LA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1258270 | — | LA |
| 01 | — | 2032372 | PK | — |