Organization
BERTRANDS PHARMACY INC
Active
Other names
BERTRANDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BERTRAND (OWNER)
(225) 644-5641
Entity
Organization
Contact information
Practice address
2001 S BURNSIDE AVE, GONZALES, LA 70737-4638
(225) 644-5641
(225) 644-0353
Mailing address
2001 S BURNSIDE AVE, GONZALES, LA 70737-4638
(225) 644-5641
(225) 644-5641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
C005086-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271071
—
LA
01
—
2028713
PK
—
Enumeration date
08/18/2006
Last updated
08/04/2016
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