Organization
DRS K L FOURNET B M DEMAHY & A R -
Active
Other names
HOSPITAL DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON FOURNET (OWNER PHARMACIST)
(337) 394-5049
Entity
Organization
Contact information
Practice address
410 N MAIN ST, SAINT MARTINVILLE, LA 70582-4119
(337) 394-5049
(337) 394-5049
Mailing address
410 N MAIN ST, SAINT MARTINVILLE, LA 70582-4119
(337) 394-5049
(337) 394-5049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5065IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270997
—
LA
01
—
1911278
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/08/2006
Last updated
07/06/2011
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