Healthcare Provider Details

I. General information

NPI: 1932213915
Provider Name (Legal Business Name): MEAUXS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 ARTHUR AVE
LAKE ARTHUR LA
70549-4614
US

IV. Provider business mailing address

PO BOX AN
LAKE ARTHUR LA
70549-0044
US

V. Phone/Fax

Practice location:
  • Phone: 337-774-2246
  • Fax: 337-774-2248
Mailing address:
  • Phone:
  • Fax: 337-774-2248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY004561IR
License Number StateLA

VIII. Authorized Official

Name: PAUL MEAUX
Title or Position: OWNER
Credential: RPH
Phone: 337-774-3291