# LANDRY COLHAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brent's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942583166
- **Authorized official:** BRENT LANDRY (OWNER/PIC/AO)
- **Authorized official phone:** (225) 332-0511

## Contact information

- **Practice address:** 243 N ACADIAN THRUWAY STE 1, BATON ROUGE, LA 70806-3772
- **Practice address phone:** (225) 332-0511
- **Practice address fax:** (225) 332-5811
- **Mailing address:** 243 N ACADIAN THRUWAY STE 1, BATON ROUGE, LA 70806-3772
- **Mailing address phone:** (225) 332-0511
- **Mailing address fax:** (225) 332-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006422 | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 07/19/2018