MEDICARE: HARDYS DRUG STORE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	447IR	LA
2	3336L0003X	Long Term Care Pharmacy	447IR	LA
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1903497	OTHER		NABP

General Provider Information

NPI Number	:	1356420228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDYS DRUG STORE INC

Provider Business Mailing Address
First Line	:	PO BOX 316
Second Line	:
City	:	ARNAUDVILLE
State	:	LA
Zip	:	70512
Country	:	US
Telephone Number	:	337-754-5231
Fax Number	:	337-754-7976

Provider Business Practice Location Address
First Line	:	123 FUSELIER ST
Second Line	:
City	:	ARNAUDVILLE
State	:	LA
Zip	:	70512
Country	:	US
Telephone Number	:	337-754-5231
Fax Number	:	337-754-7578

Authorized Official
Title or Position	:	MANAGER
Name	:	MYRA LANCLOS
Credential	:
Telephone Number	:	337-754-5231

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	11/18/2025

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Directions to “HARDYS DRUG STORE INC ” Practice Location

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