Healthcare Provider Details

I. General information

NPI: 1689767840
Provider Name (Legal Business Name): HONEYCUTT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 E OAK ST
JENA LA
71342-1350
US

IV. Provider business mailing address

PO BOX 1350
JENA LA
71342
US

V. Phone/Fax

Practice location:
  • Phone: 318-992-4574
  • Fax: 318-992-5635
Mailing address:
  • Phone: 318-992-4574
  • Fax: 318-992-5635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2213IR
License Number StateLA

VIII. Authorized Official

Name: MRS. LAGENA L DUBOIS
Title or Position: OFFICE MANAGER/ CPHT
Credential: CPHT
Phone: 318-793-2400