Organization
LANDRYS PHARMACY INC
Active
Other names
LANDRY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LANDRY RPH (OWNER PHCST)
(225) 647-3583
Entity
Organization
Contact information
Practice address
416 N BURNSIDE AVE, GONZALES, LA 70737-2828
(225) 647-3583
(225) 644-3363
Mailing address
416 N BURNSIDE AVE, GONZALES, LA 70737-2828
(225) 647-3583
(225) 644-3363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.000645-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225151
—
LA
01
—
2028714
PK
—
Enumeration date
10/20/2006
Last updated
01/13/2016
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