Organization
UNIVERSITY HOSPITAL & CLINICS INC
Active
Other names
University Hospital & Clinics OutPatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN KELLEY (DIRECTOR OF PHARMACY)
(337) 266-4869
Entity
Organization
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6235
(337) 261-6263
Mailing address
2390 WEST CONGRESS ST, LAFAYETTE, LA 70506
(337) 261-6235
(337) 261-6263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006791-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164400
PK
—
05
—
2204939
—
LA
Enumeration date
09/27/2016
Last updated
03/19/2021
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