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Organization

TECHE DRUGS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN M DARTEZ (PRESIDENT, OWNER, PIC,AO)
(337) 235-4578
Entity
Organization

Contact information

Practice address
509 JEFFERSON ST, LAFAYETTE, LA 70501-6905
(337) 235-4578
(337) 235-4570
Mailing address
509 JEFFERSON ST, LAFAYETTE, LA 70501-6905
(337) 235-4578
(337) 235-4570

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY-006091-IR
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1234931
LA
01
2028310
PK
Enumeration date
09/30/2005
Last updated
05/23/2024
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