Organization
RICHARD MEDICAL CLINIC INC
Active
Other names
ACADIANA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNIA WILLIS PHARMACIST (OWNER)
(337) 942-1400
Entity
Organization
Contact information
Practice address
507 N MARKET ST, OPELOUSAS, LA 70570-5279
(337) 942-1400
(337) 942-5595
Mailing address
507 N MARKET ST, OPELOUSAS, LA 70570-5279
(337) 942-1400
(337) 942-5595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY002222IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258270
—
LA
01
—
2032372
PK
—
Enumeration date
08/31/2006
Last updated
10/18/2022
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