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Organization · Community/Retail Pharmacy · Thibodaux, LA

NPI
1033580659
Type
Organization (Type 2)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
PHY.007248-RC (LA)
Enumerated
2015-10-08
Last updated
2025-06-12
Practice location
224 W Main St
Thibodaux, LA 70301-5426
(985) 492-5304

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