Organization
ACKAL'S IBERIA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J MOURET RPH (PHARMACY MANAGER/VICE PRESIDENT)
(337) 364-7271
Entity
Organization
Contact information
Practice address
1620 S HOPKINS ST, NEW IBERIA, LA 70560-5826
(337) 364-7271
(337) 369-9344
Mailing address
PO BOX 12311, NEW IBERIA, LA 70562-2311
(337) 364-7271
(337) 369-9344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
C00008IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1221350
—
LA
01
—
1908322
NABP
LA
Enumeration date
11/04/2005
Last updated
04/20/2008
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