Organization
EVANGELINE DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY BERNARD LEBAS P.D. (OWNER/PHARMACIST)
(337) 363-3456
Entity
Organization
Contact information
Practice address
10 W MAIN ST, VILLE PLATTE, LA 70586-4566
(337) 363-3456
(337) 363-3333
Mailing address
PO BOX 370, VILLE PLATTE, LA 70586-0370
(337) 363-3456
(337) 363-3333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
342-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214809
—
LA
Enumeration date
10/10/2006
Last updated
06/24/2025
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