Organization
MAYEAUX FAMILY PHARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWARD J MAYEAUX JR. PHARMACIST (OWNER PHARMACIST)
(337) 584-2256
Entity
Organization
Contact information
Practice address
911 MAIN ST, ELTON, LA 70532-0177
(337) 584-2256
(337) 580-1195
Mailing address
PO BOX 177, 911 MAIN ST, ELTON, LA 70532-0177
(337) 584-2256
(337) 580-1195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10564
LA
333600000X
Pharmacy
Primary
1467IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1251186
—
LA
Enumeration date
11/01/2006
Last updated
06/17/2008
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