Provider Demographics
NPI:1629438452
Name:T & C RX ASSOCIATES, L.L.C.
Entity Type:Organization
Organization Name:T & C RX ASSOCIATES, L.L.C.
Other - Org Name:BAYOU DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:RUTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:985-492-9200
Mailing Address - Street 1:1615 ST. MARY ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-6442
Mailing Address - Country:US
Mailing Address - Phone:985-492-9200
Mailing Address - Fax:985-492-9202
Practice Address - Street 1:1615 ST. MARY ST
Practice Address - Street 2:SUITE F
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-6442
Practice Address - Country:US
Practice Address - Phone:985-492-9200
Practice Address - Fax:985-492-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.047691-IR333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy