# EVANGELINE DRUG STORE INC

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

## Provider details

- **NPI number:** 1730277369
- **Authorized official:** MR. HARVEY BERNARD LEBAS P.D. (OWNER/PHARMACIST)
- **Authorized official phone:** (337) 363-3456

## Contact information

- **Practice address:** 10 W MAIN ST, VILLE PLATTE, LA 70586-4566
- **Practice address phone:** (337) 363-3456
- **Practice address fax:** (337) 363-3333
- **Mailing address:** PO BOX 370, VILLE PLATTE, LA 70586-0370
- **Mailing address phone:** (337) 363-3456
- **Mailing address fax:** (337) 363-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 342-IR | LA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 06/24/2025
