# ST LANDRY PHARMACY LLC

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

## Provider details

- **NPI number:** 1568789063
- **Authorized official:** MR. TERRY N MENGARELLI PD (OWNER)
- **Authorized official phone:** (337) 945-3567

## Contact information

- **Practice address:** 2315 JAKE DR, OPELOUSAS, LA 70570-7707
- **Practice address phone:** (337) 945-3567
- **Mailing address:** 2315 JAKE DR, OPELOUSAS, LA 70570-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | LA | — |
| 3336C0003X | Community/Retail Pharmacy | — | LA | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 11/15/2010