# UNIVERSITY HOSPITAL & CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Hospital & Clinics OutPatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740739044
- **Authorized official:** LOGAN KELLEY (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (337) 266-4869

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 03/19/2021