| NPI | 1962589549 |
|---|---|
| Doing Business As | HEALTH MART PHARMACY OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | WESLEY DAVID Owner President 337-235-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY006433IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-09-16 |