Healthcare Provider Details

I. General information

NPI: 1851337877
Provider Name (Legal Business Name): ABBEVILLE GENERAL HOSP PHCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N HOSPITAL DR
ABBEVILLE LA
70510-4039
US

IV. Provider business mailing address

118 N HOSPITAL DR
ABBEVILLE LA
70510-4039
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-6482
  • Fax: 337-898-6293
Mailing address:
  • Phone: 337-893-5466
  • Fax: 337-893-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPHY.000002-HOS
License Number StateLA

VIII. Authorized Official

Name: RUSTY GUIDRY
Title or Position: DIR OF PHCY SERVICES
Credential: RPH
Phone: 337-898-6482