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NPI Code Detail

MEDICARE: SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY PHARMACY

MEDICARE: SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY PHARMACY
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
13336C0002XClinic Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11558756742OTHERLANPI

General Provider Information

NPI Number : 1558756742
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY PHARMACY
Provider Business Mailing Address
First Line : 158 REGAL ROW
Second Line :
City : HOUMA
State : LA
Zip : 70360-6097
Country : US
Telephone Number : 985-858-2931
Fax Number : 985-426-6004
Provider Business Practice Location Address
First Line : 1809 W AIRLINE HWY
Second Line :
City : LA PLACE
State : LA
Zip : 70068-3336
Country : US
Telephone Number : 985-652-6311
Fax Number : 985-444-5774
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : MISTY HEBERT
Credential : LPC
Telephone Number : 985-876-8812
Provider Enumeration Date : 04/03/2015
Last Update Date : 06/05/2026

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Directions to “SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY PHARMACY ” Practice Location

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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.

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