Organization
APOTHECARY ALLEY LLC
Active
Other names
GUIDRY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY GUIDRY BS PHARMACY (PHARMACIST /OWNER)
(337) 582-3131
Entity
Organization
Contact information
Practice address
204 S THOMSON AVE, IOWA, LA 70647
(337) 582-3131
(337) 582-3439
Mailing address
PO BOX 760, IOWA, LA 70647-0760
(337) 582-3131
(337) 582-3459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY003536IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266256
—
LA
01
—
2028744
PK
—
Enumeration date
09/21/2006
Last updated
09/02/2014
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