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General NPI Number Information
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NPI Number | 1669876876
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Entity Type | Organization
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Legal Business Name | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 13086 HIGHWAY 3235
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City | LAROSE
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State | LA
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Zip | 70373-2552
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Country | US
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Telephone | 985-693-9260
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Fax | 985-693-9265
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Provider Business Mailing Address
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Address Line | 200 W 134TH PL
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City | CUT OFF
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State | LA
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Zip | 70345-4143
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Country | US
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Telephone | 985-632-8286
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Fax | 985-632-2102
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. LLOYD JOSEPH GUIDRY JR.
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Credential | PHARM.D.
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Telephone | 985-632-8286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 6967
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License Number State | LA
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