NPI 1346586583

Icare Pharmacy LLC

Organisation Medical Foods Supplier Lafayette, LA

Practice location

Address: 104 Darwin Cir, Lafayette, LA 70508-7110
Phone: (337) 296-1384
Fax: (337) 889-3172
Mailing address: 2807 Kaliste Saloom Rd, Lafayette, LA 70508-7141

Authorised official

Name: Terry James Veillon
Title: Owner/Pic
Phone: (337) 296-1384

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Louisiana →

Registry record

NPI: 1346586583
Entity type: Organization
NPI issued: 17 Dec 2012
Record last updated: 17 Dec 2012

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.