Organization
LAFAYETTE GENERAL MEDICAL CENTER, INC.
Active
Parent organization
LAFAYETTE GENERAL HEALTH SYSTEM, INC.
Other names
Lafayette General Pinhook Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFAYETTE GENERAL HEALTH SYSTEM, INC.
Authorized official
DAVID L CALLECOD (PRESIDENT, EVP)
(337) 289-7610
Entity
Organization
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7001
LA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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