Organization
PEOPLES DRUG STORE INC
Active
Other names
PEOPLES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BRUNET (OWNER)
(985) 873-8003
Entity
Organization
Contact information
Practice address
101 GOODE ST, HOUMA, LA 70360-4443
(985) 873-8577
(985) 873-8541
Mailing address
7869 MAIN ST, HOUMA, LA 70360-4461
(985) 873-8526
(985) 873-8541
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
6656IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035605
PK
—
05
—
2202430
—
LA
05
—
NONE
—
LA
Enumeration date
02/22/2007
Last updated
11/09/2020
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