DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IBERIA COMPREHENSIVE CHC PHARMACY

MEDICARE: IBERIA COMPREHENSIVE CHC 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
13336C0003XCommunity/Retail Pharmacy5987LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12035620OTHERPK

General Provider Information

NPI Number : 1881871333
Entity Type Code : Organization
Provider Name (Legal Business Name) : IBERIA COMPREHENSIVE CHC PHARMACY
Provider Business Mailing Address
First Line : 806 JEFFERSON TER
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-5727
Country : US
Telephone Number : 337-376-6868
Fax Number : 337-376-6866
Provider Business Practice Location Address
First Line : 806 JEFFERSON TER
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-5727
Country : US
Telephone Number : 337-376-6868
Fax Number : 337-376-6866
Authorized Official
Title or Position : PIC
Name : REGINALD BOUTTE
Credential : RPH
Telephone Number : 337-376-6868
Provider Enumeration Date : 01/28/2008
Last Update Date : 12/01/2021

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:
10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314
Practice Phone: 212-420-2757
Practice Fax:
1437196235 — DR. DWAYNE KINCADE DDS
Practice Location Address:
806 JEFFERSON TER
NEW IBERIA, LA
70560-5727
Practice Phone: 337-365-4945
Practice Fax: 337-376-6860
1235211798 — EDMOND X BERGERON III M.P.
Practice Location Address:
806 JEFFERSON TER
NEW IBERIA, LA
70560-5727
Practice Phone: 337-365-4945
Practice Fax:
1295041796 — MRS. CARMEN LYNETTE BROWN FNP
Practice Location Address:
806 JEFFERSON TER
NEW IBERIA, LA
70560-5727
Practice Phone: 337-365-4945
Practice Fax:
1932441722 — SARAH RITO MD
Practice Location Address:
806 JEFFERSON TER
NEW IBERIA, LA
70560-5727
Practice Phone: 337-367-3992
Practice Fax: 337-367-3994
1225445810 — MS. EMILY KOSTELECKY DMDI
Practice Location Address:
806 JEFFERSON TER
NEW IBERIA, LA
70560-5727
Practice Phone: 337-365-4945
Practice Fax: 337-367-3917

Directions to “IBERIA COMPREHENSIVE CHC PHARMACY ” 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.