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Organization

THIBODEAUX'S PHARMACY INC.

Active
Other names
Thibodeaux's Pharmacy Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KARL PHILIP PETRY PHARM. D (PHARMACIST)
(337) 536-6115
Entity
Organization

Contact information

Practice address
104 MAIN ST, GUEYDAN, LA 70542-3528
(337) 536-6115
Mailing address
104 MAIN ST, GUEYDAN, LA 70542-3528
(337) 536-6115

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13125
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1260622
LA
Enumeration date
05/02/2007
Last updated
09/25/2007
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