Organization
HOUMA URGENT CARE LLC
Active
Other names
HOUMA URGENT CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN PITRE (PIC)
(985) 580-9996
Entity
Organization
Contact information
Practice address
131 CORPORATE DR, HOUMA, LA 70360-2767
(985) 580-9996
(985) 580-9987
Mailing address
131 CORPORATE DR, HOUMA, LA 70360-2767
(985) 580-9996
(985) 580-9987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.005311-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271675
—
LA
01
—
2035220
PK
—
Enumeration date
12/14/2006
Last updated
12/13/2016
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