Haydels Drug Store

LBN: Haydels Drug Store Inc
Haydels Drug Store is an health care organization with primary practice located at 4752 Highway 311 Ste 100 , Houma LA 70360-2810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Haydels Drug Store Inc can be contacted via phone (985) 879-2440, or through Rock, Robert via phone (985) 879-2440.

Contact Information

Primary practice address
4752 Highway 311 Ste 100 Houma LA 70360-2810
Fax: (985) 879-2967
Website:
Authorized official contact:
Name: Rock, Robert RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY000451IR Louisiana

Profile Details

NPI number 1629172689
LBN Legal business name Haydels Drug Store Inc
DBA Doing business as Haydels Drug Store
Authorized official Rock, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 23rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629172689 NPPES
Louisiana MEDICAID 1219606
Louisiana Other 2028736

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