# HEALTH MART OF GUEYDAN INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Mart Pharmacy of Gueydan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922030154
- **Authorized official:** TISHA DUPREE RPH (OWNER/PIC)
- **Authorized official phone:** (337) 536-9600

## Contact information

- **Practice address:** 200 MAIN ST, GUEYDAN, LA 70542-3530
- **Practice address phone:** (337) 536-9600
- **Practice address fax:** (337) 536-9933
- **Mailing address:** 200 MAIN ST, GUEYDAN, LA 70542-3530
- **Mailing address phone:** (337) 536-9600
- **Mailing address fax:** (337) 536-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 006339 | LA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 10/22/2024