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Organization

ROUSES DISCOUNT PHCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOMMY ROUSE (MANGER PARTNER)
(985) 447-5998
Entity
Organization

Contact information

Practice address
1175 AUDUBON AVE, THIBODAUX, LA 70301-4940
(985) 446-3011
(985) 446-3011
Mailing address
PO BOX 5358, THIBODAUX, LA 70302-5358

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3270
LA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1263095
LA
01
1926560
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
01/17/2007
Last updated
09/11/2025
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