Organization
HEALTH MART OF LAFAYETTE LLC
Active
Other names
Health Mart Pharmacy of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY DAVID RPH (OWNER PRESIDENT)
(337) 235-3523
Entity
Organization
Contact information
Practice address
600 JOHNSTON ST, LAFAYETTE, LA 70501-8060
(337) 235-3523
(337) 233-1518
Mailing address
818 N CUSHING AVE, KAPLAN, LA 70548-2615
(337) 235-3523
(337) 233-1518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006433IR
LA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132567
PK
—
05
—
2201000
—
LA
Enumeration date
11/01/2006
Last updated
09/16/2016
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