| NPI | 1104930189 |
|---|---|
| Doing Business As | HAYDELS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | ROBERT ROCK Owner 985-853-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.004183-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-07-19 |