Healthcare Provider Details

I. General information

NPI: 1356420228
Provider Name (Legal Business Name): HARDYS DRUG STORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 FUSELIER ST
ARNAUDVILLE LA
70512
US

IV. Provider business mailing address

PO BOX 316
ARNAUDVILLE LA
70512
US

V. Phone/Fax

Practice location:
  • Phone: 337-754-5231
  • Fax: 337-754-7578
Mailing address:
  • Phone: 337-754-5231
  • Fax: 337-754-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number447IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number447IR
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MYRA LANCLOS
Title or Position: MANAGER
Credential:
Phone: 337-754-5231