Organization
HEBERTS SUPERETTE INC
Active
Other names
HEBERTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL J DAIGLE JR. (PHARMACIST)
(337) 332-5186
Entity
Organization
Contact information
Practice address
1101 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3917
(337) 332-5186
(337) 332-2661
Mailing address
1101 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3917
(337) 332-5186
(337) 332-2661
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002260IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258733
—
LA
01
—
2032475
PK
—
Enumeration date
08/18/2006
Last updated
09/03/2025
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