Organization
LACOMBE FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY BYRON BONDI PHARMD (OWNER/PIC)
(985) 882-5999
Entity
Organization
Contact information
Practice address
28079 US HWY 190, LACOMBE, LA 70445
(985) 882-5999
(985) 882-5111
Mailing address
PO BOX 1063, LACOMBE, LA 70445
(985) 882-5999
(985) 882-5111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
006646
LA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006646.IR
LA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120196
—
LA
01
—
1215274741
NPI
—
05
—
2201964
—
LA
Enumeration date
12/14/2012
Last updated
09/17/2019
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