Organization
KASTAK SERVICES, L.L.C.
Active
Other names
Hollier's Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY SIMONEAUX PHARM.D. (OWNER/PHARMACIST)
(337) 332-5010
Entity
Organization
Contact information
Practice address
1456 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 332-5010
(337) 332-6068
Mailing address
1456 E BRIDGE ST, BREAUX BRIDGE, LA 70517-3406
(337) 332-5010
(337) 332-6068
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269646
—
LA
Enumeration date
10/04/2006
Last updated
07/01/2025
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