MEDICARE: LAA DRUG LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	25895	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2097010	OTHER		PK

General Provider Information

NPI Number	:	1114932738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAA DRUG LLC

Provider Business Mailing Address
First Line	:	118 W 4TH ST
Second Line	:
City	:	HEARNE
State	:	TX
Zip	:	77859-2506
Country	:	US
Telephone Number	:	979-279-2173
Fax Number	:	979-279-2983

Provider Business Practice Location Address
First Line	:	118 W 4TH ST
Second Line	:
City	:	HEARNE
State	:	TX
Zip	:	77859-2506
Country	:	US
Telephone Number	:	979-279-2173
Fax Number	:	979-279-2983

Authorized Official
Title or Position	:	MANG MEMBER
Name	:	LEAH ALLEN
Credential	:	PHRMD
Telephone Number	:	978-279-2173

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	06/08/2015

Similar Medicare Providers

1730144676 — ST JOSEPH REGIONAL HEALTH CENTER
Practice Location Address:

709 BARTON ST
HEARNE, TX
77859-3009

Practice Phone: 979-776-2426
Practice Fax: 979-776-5948

1780637967 — SLP HEARNE LLC
Practice Location Address:

1101 W BROWN ST
HEARNE, TX
77859-3064

Practice Phone: 979-279-5361
Practice Fax: 979-279-2457

1578508842 — HEALTHWISE HOSPICE
Practice Location Address:

607 W BROWN ST
HEARNE, TX
77859-3018

Practice Phone: 979-279-9284
Practice Fax: 979-279-2032

1700998978 — ZBIGNIEW CHMIELEWSKI M.D.
Practice Location Address:

709 BARTON ST
HEARNE, TX
77859-3009

Practice Phone: 779-279-3451
Practice Fax: 979-279-5163

1962501288 — BROOKSHIRE BROTHERS INC
Practice Location Address:

400 W 2ND ST
HEARNE, TX
77859-2566

Practice Phone: 979-279-5343
Practice Fax: 979-279-3374

1225103773 — MR. JERRY DON LLOYD FNP-C
Practice Location Address:

709 BARTON ST
HEARNE, TX
77859-3009

Practice Phone: 979-279-3451
Practice Fax: 979-595-1704

Directions to “LAA DRUG LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.