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General NPI Number Information
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NPI Number | 1538260658
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Entity Type | Organization
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Legal Business Name | BEGNEAUD'S PHARMACY
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1164 COOLIDGE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2619
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Country | US
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Telephone | 337-234-9488
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Fax | 337-234-9480
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Provider Business Mailing Address
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Address Line | 1164 COOLIDGE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2619
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Country | US
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Telephone | 337-234-9488
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Fax | 337-234-9480
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LOUISE B GANUCHEAU
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Credential |
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Telephone | 337-234-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15749
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 1190
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 61-IR
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License Number State | LA
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