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General NPI Number Information
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NPI Number | 1306494463
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Entity Type | Organization
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Legal Business Name | BREAUX'S PHARMACY, LLC.
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1301 HORRIDGE ST
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City | VINTON
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State | LA
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Zip | 70668-4531
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Country | US
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Telephone | 337-324-7017
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Fax | 337-324-7023
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Provider Business Mailing Address
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Address Line | 4395 HIGHWAY 108 W
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City | SULPHUR
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State | LA
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Zip | 70665-8457
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Country | US
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Telephone | 337-661-1542
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA BREAUX
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Credential | PHARMD
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Telephone | 337-661-1542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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