# ARDOIN CRESCENT DRUG STORE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609963891
- **Authorized official:** AMOS ARDOIN (OWNER AND PHARMACIST)
- **Authorized official phone:** (337) 824-4534

## Contact information

- **Practice address:** 254 N MAIN ST, JENNINGS, LA 70546-5848
- **Practice address phone:** (337) 824-4534
- **Practice address fax:** (337) 824-1307
- **Mailing address:** PO BOX 1205, JENNINGS, LA 70546-1205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2236IR | LA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 09/11/2025