LANDRYS PHARMACY INC
416 N Burnside Ave
Gonzales, LA 70737
225-647-3583
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | LA | PHY.000645-IR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1225151 | LA | MEDICAID | |
PK | 2028714 | OTHER |