Organization
ST LANDRY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY N MENGARELLI PD (OWNER)
(337) 945-3567
Entity
Organization
Contact information
Practice address
2315 JAKE DR, OPELOUSAS, LA 70570-7707
(337) 945-3567
Mailing address
2315 JAKE DR, OPELOUSAS, LA 70570-7707
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
LA
Other
Enumeration date
04/23/2010
Last updated
11/15/2010
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