Organization
LAFAYETTE GENERAL MEDICAL CENTER INC.
Active
Parent organization
LAFAYETTE GENERAL MEDICAL CENTER INC
Other names
Lafayette General Medical Center Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFAYETTE GENERAL MEDICAL CENTER INC
Authorized official
MR. PATRICK W. GANDY (CEO)
(337) 289-7743
Entity
Organization
Contact information
Practice address
1214 COOLIDGE BLVD FL 1, LAFAYETTE, LA 70503-2621
(337) 289-8812
(337) 289-8813
Mailing address
PO BOX 54287, NEW ORLEANS, LA 70154-4287
(337) 289-8812
(337) 289-8813
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207857
—
LA
Enumeration date
04/22/2020
Last updated
11/30/2021
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