Organization
GULFCOAST PHARMACEUTICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT P GUILLOT (OWNER)
(225) 644-4853
Entity
Organization
Contact information
Practice address
1039 E HIGHWAY 30, GONZALES, LA 70737-4757
(225) 644-4853
Mailing address
PO BOX 13524, ALEXANDRIA, LA 71315-3524
(318) 445-4477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538680
—
LA
Enumeration date
04/10/2007
Last updated
08/22/2020
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