Organization
TOWNE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN JOE LANDRY PHARM.D. (OWNER/PHARMACIST)
(337) 839-8880
Entity
Organization
Contact information
Practice address
103 E MAIN ST, BROUSSARD, LA 70518-4616
(337) 839-8880
(337) 839-8881
Mailing address
103 E MAIN ST, BROUSSARD, LA 70518-4616
(337) 839-8880
(337) 839-8881
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006633
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202154
—
LA
Enumeration date
08/23/2005
Last updated
06/13/2017
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