NPI 1073625927
Icare Pharmacy - Johnston Street LLC
Practice location
- Address
- 2039 Johnston St, Lafayette, LA 70503-2784
- Phone
- (337) 233-4782
- Fax
- (337) 233-4783
Authorised official
- Name
- Cleveland Michaud
- Title
- Owner
- Phone
- (337) 233-4782
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1073625927
- Entity type
- Organization
- NPI issued
- 31 Aug 2006
- Record last updated
- 19 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.