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Organization
A T CORPORATION
Active
Organization
A T CORPORATION
Active
Other names
Goudeau's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA JOHNSON RPH (OWNER)
(225) 687-4349
Entity
Organization
Contact information
Practice address
57930 LABAUVE AVE, PLAQUEMINE, LA 70764-3338
(225) 687-4349
(225) 687-6598
Mailing address
57930 LABAUVE AVE, PLAQUEMINE, LA 70764-3338
(225) 687-4349
(225) 687-6598
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY006335IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912193
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2006
Last updated
08/02/2011
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