Healthcare Provider Details

I. General information

NPI: 1083707426
Provider Name (Legal Business Name): HOWARD BROS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 02/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 W SAINT PETER ST
NEW IBERIA LA
70560-3558
US

IV. Provider business mailing address

1104 W SAINT PETER ST
NEW IBERIA LA
70560-3558
US

V. Phone/Fax

Practice location:
  • Phone: 337-365-5456
  • Fax: 337-365-0964
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberC000486IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JULIA BIJEAUX
Title or Position: OWNER
Credential: PHARM TECH
Phone: 337-365-5456