Organization
BREAUX'S PHARMACY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA BREAUX PHARMD (OWNER)
(337) 661-1542
Entity
Organization
Contact information
Practice address
1301 HORRIDGE ST, VINTON, LA 70668-4531
(337) 324-7017
(337) 324-7023
Mailing address
4395 HIGHWAY 108 W, SULPHUR, LA 70665-8457
(337) 661-1542
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207270
—
LA
Enumeration date
08/30/2019
Last updated
06/09/2025
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