Organization
ST MARTIN PARISH CHC PHARMACY
Active
Parent organization
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER
Authorized official
REGINALD BOUTTE R.PH. (PHARMACIST IN CHARGE)
(337) 376-6868
Entity
Organization
Contact information
Practice address
317 DERNIER ST, SAINT MARTINVILLE, LA 70582-3809
(337) 342-2566
Mailing address
317 DERNIER ST, SAINT MARTINVILLE, LA 70582-3809
(337) 342-2566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
LA
Other
Enumeration date
09/03/2013
Last updated
12/01/2021
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