# KIRBY PHARMACY SERVICES

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

## Provider details

- **NPI number:** 1518003722
- **Authorized official:** KIRBY BONVILLAIN (PHARMACIST)
- **Authorized official phone:** (985) 853-2885

## Contact information

- **Practice address:** 7505 MAIN ST, HOUMA, LA 70360-4223
- **Practice address phone:** (985) 853-2885
- **Practice address fax:** (985) 853-2091
- **Mailing address:** 7505 MAIN ST, HOUMA, LA 70360-4223
- **Mailing address phone:** (985) 853-2885
- **Mailing address fax:** (985) 853-2091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6100-IR | LA | — |
| 3336C0004X | Compounding Pharmacy | 6100-IR | LA | Yes |
| 3336S0011X | Specialty Pharmacy | 6100-IR | LA | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 06/02/2009