Organization
HARDYS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA GUILBEAU LANCLOS (MANAGER/CPT)
(337) 754-5231
Entity
Organization
Contact information
Practice address
123 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
(337) 754-5231
(337) 754-7976
Mailing address
PO BOX 316, ARNAUDVILLE, LA 70512-0316
(337) 754-5231
(337) 754-7976
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY.000447-IR
LA
3336L0003X
Long Term Care Pharmacy
PHY.000447-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219339
—
LA
01
—
1356420228
NPI
—
01
—
1903497
NABP
—
Enumeration date
10/05/2016
Last updated
10/05/2016
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