Whalio Doctors

NPI 1073625927

Icare Pharmacy - Johnston Street LLC

Organisation Community/Retail Pharmacy Lafayette, LA

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
Suppliers Taxonomy 3336C0003X Licence PHY006927IR (LA)
Pharmacy
Suppliers Taxonomy 333600000X

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.