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Organization

UNIVERSITY HOSPITAL & CLINICS INC

Active
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Organization

UNIVERSITY HOSPITAL & CLINICS INC

Active
Other names
University Hospital & Clinics OutPatient Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LOGAN KELLEY (DIRECTOR OF PHARMACY)
(337) 266-4869
Entity
Organization

Contact information

Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6235
(337) 261-6263
Mailing address
2390 WEST CONGRESS ST, LAFAYETTE, LA 70506
(337) 261-6235
(337) 261-6263

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006791-IR
LA

Other

Enumeration date
09/27/2016
Last updated
03/19/2021
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