# MANDEVILLE PHARMACY LLC

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

## Provider details

- **NPI number:** 1548616998
- **Authorized official:** MALCOLM ARMSTRONG (PRESIDENT/PHARMACY MGR.)
- **Authorized official phone:** (985) 778-2306

## Contact information

- **Practice address:** 1655 HIGHWAY 190, MANDEVILLE, LA 70448-3582
- **Practice address phone:** (985) 778-2306
- **Practice address fax:** (985) 778-2404
- **Mailing address:** 1655 HIGHWAY 190, MANDEVILLE, LA 70448-3582
- **Mailing address phone:** (985) 778-2306
- **Mailing address fax:** (985) 778-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.007316-IR | LA | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 07/10/2025