# PORT VINCENT PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Port Vincent Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518193051
- **Authorized official:** MR. MERLIN ANTHONY LACOMBE JR. R.PH. (OWNER/PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (225) 698-6666

## Contact information

- **Practice address:** 18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
- **Practice address phone:** (225) 698-6666
- **Practice address fax:** (225) 698-6766
- **Mailing address:** 18590 LA HIGHWAY 16, SUITE 1, PORT VINCENT, LA 70726-8066
- **Mailing address phone:** (225) 698-6666
- **Mailing address fax:** (225) 698-6766

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 06/10/2009