Organization
OUR LADY OF LOURDES APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BARROW RPL (CEO OUR LADY OF LOURDES)
(337) 289-2000
Entity
Organization
Contact information
Practice address
601 W SAINT MARY BLVD, STE 101, LAFAYETTE, LA 70506-3568
(337) 289-4040
(337) 289-4039
Mailing address
601 W SAINT MARY BLVD, STE 101, LAFAYETTE, LA 70506-3568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267929
—
LA
01
—
1929592
OTHER ID NUMBER
—
Enumeration date
04/24/2007
Last updated
09/13/2007
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