Organization
SWLA CENTER FOR HEALTH SERVICES
Active
Other names
SWLA Center for Health Services Pharmacy-Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
JAMYA MOUTON (CRDENTIALING SPECIALIST)
(337) 769-9451
Entity
Organization
Contact information
Practice address
500 PATTERSON ST, LAFAYETTE, LA 70501-1849
(337) 769-6530
(888) 571-3506
Mailing address
500 PATTERSON ST, LAFAYETTE, LA 70501-1849
(337) 769-6533
(337) 769-9468
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY006508IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936270
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/30/2012
Last updated
01/27/2026
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