Organization
TEWELDE'S LAFITTE DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TADDESE TEWELDE PHARMD (OWNER PHARMACIST)
(504) 689-4122
Entity
Organization
Contact information
Practice address
2695 JEAN LAFITTE BLVD, LAFITTE, LA 70067
(504) 689-4122
(504) 689-4125
Mailing address
PO BOX 10, LAFITTE, LA 70067-0010
(504) 689-4122
(504) 689-4125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1252875
—
LA
01
—
1913171
NABP
LA
Enumeration date
01/04/2007
Last updated
08/22/2020
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