# LOURDES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396237475
- **Authorized official:** EDMOND DUCOTE (OWNER)
- **Authorized official phone:** (318) 256-3426

## Contact information

- **Practice address:** 220 HIGHLAND DR, STE E, MANY, LA 71449-3764
- **Practice address phone:** (318) 256-3426
- **Practice address fax:** (318) 256-0101
- **Mailing address:** 220 HIGHLAND DR, STE E, MANY, LA 71449-3764
- **Mailing address phone:** (318) 256-3426
- **Mailing address fax:** (318) 256-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.001872-IR | LA | Yes |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 10/23/2018