Organization
NEW IBERIA RX INC
Active
Other names
Delaune's Pharmacy and Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE GAUTHIER (BOOKKEEPER)
(337) 334-9979
Entity
Organization
Contact information
Practice address
308 N LEWIS ST, NEW IBERIA, LA 70563-2843
(337) 364-7671
(337) 364-3824
Mailing address
PO BOX 578, RAYNE, LA 70578-0578
(337) 334-9979
(337) 364-3824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006358-IR
LA
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128896
PK
—
05
—
2200721
—
LA
Enumeration date
02/02/2011
Last updated
03/16/2016
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