# LANDRY'S PHARMACY 1, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Landry's Pharmacy 1, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457912958
- **Authorized official:** DR. DARVIS HARVEY (OWNER)
- **Authorized official phone:** (504) 957-6784

## Contact information

- **Practice address:** 416 N BURNSIDE AVE, GONZALES, LA 70737-2828
- **Practice address phone:** (504) 957-6784
- **Mailing address:** 416 N BURNSIDE AVE, GONZALES, LA 70737-2828
- **Mailing address phone:** (504) 957-6784

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 02/27/2020
