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General NPI Number Information
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NPI Number | 1215151956
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Entity Type | Organization
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Legal Business Name | ALVIN GUIDRY TRUST
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 210 W NAPOLEON ST STE G
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City | SULPHUR
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State | LA
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Zip | 70663-3362
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Country | US
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Telephone | 337-527-6622
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Fax | 337-527-9700
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Provider Business Mailing Address
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Address Line | 210 W NAPOLEON ST STE G
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City | SULPHUR
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State | LA
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Zip | 70663-3362
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER TRUSTEE
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Name | RUTH GUIDRY
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Credential |
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Telephone | 337-527-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number | 3275IR
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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