Organization
ARCHIE CHAUVIN
Active
Other names
LYDIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIE CHAUVIN RPH (OWNER)
(337) 369-6156
Entity
Organization
Contact information
Practice address
3917 DARNALL RD, LYDIA, LA 70569-0435
(337) 369-6156
(337) 365-6376
Mailing address
PO BOX 435, LYDIA, LA 70569-0435
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
000687-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1227285
—
LA
01
—
2028918
PK
—
Enumeration date
10/02/2006
Last updated
07/11/2014
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