Organization
MELVILLE PHARMACY AND GIFT SHOPPE INC
Active
Other names
St. Landry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MENGARELLI RPH (OWNER)
(337) 623-9964
Entity
Organization
Contact information
Practice address
6637 HIGHWAY 10, WASHINGTON, LA 70589
(337) 623-9992
(337) 623-9964
Mailing address
6637 HIGHWAY 10, WASHINGTON, LA 70589
(337) 623-9992
(337) 623-9964
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002980-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261904
—
LA
01
—
2033279
PK
—
Enumeration date
01/08/2007
Last updated
11/23/2016
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