Organization
D AND L FAMILY DRUG STORE
Active
Other names
SAV INS DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
TROY GUILBEAUX PHARM D (PIC)
(337) 937-5861
Entity
Organization
Contact information
Practice address
101 E LASTIE ST, ERATH, LA 70533-3701
(337) 937-5861
(337) 937-5862
Mailing address
101 E LASTIE ST, ERATH, LA 70533-3701
(337) 937-5861
(337) 937-5862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
210IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211630
—
LA
01
—
1902534
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
04/14/2010
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