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Organization
MANDEVILLE PHARMACY LLC
Active
Organization
MANDEVILLE PHARMACY LLC
Active
Other names
Mandeville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM ARMSTRONG (PRESIDENT/PHARMACY MGR.)
(985) 778-2306
Entity
Organization
Contact information
Practice address
1655 HIGHWAY 190, MANDEVILLE, LA 70448-3582
(985) 778-2306
(985) 778-2404
Mailing address
1655 HIGHWAY 190, MANDEVILLE, LA 70448-3582
(985) 778-2306
(985) 778-2404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007316-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159916
PK
—
05
—
2204491
—
LA
Enumeration date
05/04/2016
Last updated
07/10/2025
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