Organization
HAYDELS DRUG STORE INC
Active
Other names
HAYDELS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROCK RPH (OWNER)
(985) 879-2440
Entity
Organization
Contact information
Practice address
4752 HIGHWAY 311 STE 100, HOUMA, LA 70360-2810
(985) 879-2440
(985) 879-2967
Mailing address
4752 HIGHWAY 311 STE 100, HOUMA, LA 70360-2810
(985) 879-2440
(985) 879-2967
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY000451IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219606
—
LA
01
—
2028736
PK
—
Enumeration date
09/12/2006
Last updated
03/03/2026
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