# MAPLE AVENUE PHARMACY 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:** Maple Avenue Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982791174
- **Authorized official:** AUGUST COURVILLE (OWNER/PIC)
- **Authorized official phone:** (337) 580-1485

## Contact information

- **Practice address:** 1200 W MAPLE AVE, EUNICE, LA 70535-4320
- **Practice address phone:** (337) 457-5216
- **Practice address fax:** (337) 457-0920
- **Mailing address:** PO BOX 1002, EUNICE, LA 70535-1002
- **Mailing address phone:** (337) 457-5216
- **Mailing address fax:** (337) 457-0920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY006500 | LA | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 09/28/2016