# IBERIA COMPREHENSIVE CHC PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IBERIA COMPREHENSIVE CHC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881871333
- **Authorized official:** REGINALD BOUTTE RPH (PIC)
- **Authorized official phone:** (337) 376-6868

## Contact information

- **Practice address:** 806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
- **Practice address phone:** (337) 376-6868
- **Practice address fax:** (337) 376-6866
- **Mailing address:** 806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
- **Mailing address phone:** (337) 376-6868
- **Mailing address fax:** (337) 376-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 5987 | LA | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 12/01/2021