Organization
GUEYDAN RX INC
Active
Other names
Meches Fmaily Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EZEKIEL (BOOKKEEPER)
(337) 230-2153
Entity
Organization
Contact information
Practice address
104 MAIN ST, GUEYDAN, LA 70542-3528
(337) 536-6115
(337) 536-5690
Mailing address
PO BOX 578, RAYNE, LA 70578-0578
(337) 334-9979
(337) 334-9899
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6587
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/21/2012
Last updated
11/05/2012
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