Individual
IVAN LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
103 E MAIN ST, BROUSSARD, LA 70518-4616
(337) 839-8880
(337) 839-8881
Mailing address
103 E MAIN ST, BROUSSARD, LA 70518-4616
(337) 839-8880
(337) 839-8881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.014938
LA
Other
Enumeration date
05/19/2014
Last updated
05/01/2025
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