MEDICARE: H & W DRUG STORE 4LLC

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

General Provider Information

NPI Number	:	1891332748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & W DRUG STORE 4LLC

Provider Business Mailing Address
First Line	:	1522 SAINT BERNARD AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-1419
Country	:	US
Telephone Number	:	504-582-9050
Fax Number	:	504-582-9052

Provider Business Practice Location Address
First Line	:	1522 SAINT BERNARD AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-1419
Country	:	US
Telephone Number	:	504-582-9050
Fax Number	:	504-582-9052

Authorized Official
Title or Position	:	OWNER
Name	:	RUSTON HENRY
Credential	:
Telephone Number	:	504-582-9050

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	12/27/2025

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