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NPI Code Detail

MEDICARE: TOWNE PHARMACY LLC

MEDICARE: TOWNE PHARMACY 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
13336C0003XCommunity/Retail Pharmacy006633LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821081050
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWNE PHARMACY LLC
Provider Business Mailing Address
First Line : 103 E MAIN ST
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4616
Country : US
Telephone Number : 337-839-8880
Fax Number : 337-839-8881
Provider Business Practice Location Address
First Line : 103 E MAIN ST
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4616
Country : US
Telephone Number : 337-839-8880
Fax Number : 337-839-8881
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : MR. IVAN JOE LANDRY
Credential : PHARM.D.
Telephone Number : 337-839-8880
Provider Enumeration Date : 08/23/2005
Last Update Date : 06/13/2017

Similar Medicare Providers

1376954750 — IVAN LANDRY PHARMD
Practice Location Address:
103 E MAIN ST
BROUSSARD, LA
70518-4616
Practice Phone: 337-839-8880
Practice Fax: 337-839-8881
1598177917 — TOWNE PHARMACY LLC
Practice Location Address:
103 E MAIN ST
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1245885698 — JONATHAN MATTHEW LANDRY
Practice Location Address:
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BROUSSARD, LA
70518-4616
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Practice Fax: 337-839-8881
1548816986 — JOHN STEVEN VIGUERIE RPH
Practice Location Address:
103 E MAIN ST
BROUSSARD, LA
70518-4616
Practice Phone: 337-839-8880
Practice Fax: 337-839-8881
1093517104 — MRS. SIMONE STEVENS PHARMD.
Practice Location Address:
103 E MAIN ST
BROUSSARD, LA
70518-4616
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Practice Fax:
1376406157 — ARIEL BABINEAUX PT
Practice Location Address:
705 S MORGAN AVE STE A
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70518-4951
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Directions to “TOWNE PHARMACY LLC ” Practice Location

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