Organization
BRYAN FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BRYAN PHARM (OWNER)
(225) 978-4671
Entity
Organization
Contact information
Practice address
17275 HIGHWAY 77, GROSSE TETE, LA 70740-3008
(225) 648-2020
(225) 648-2047
Mailing address
17275 HIGHWAY 77, GROSSE TETE, LA 70740-3008
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2009IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1256455
—
LA
01
—
1921572
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
09/11/2025
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