Provider Demographics
NPI:1760479117
Name:TECHE DRUGS, INC.
Entity Type:Organization
Organization Name:TECHE DRUGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER, PIC,AO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DARTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-235-4578
Mailing Address - Street 1:509 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-6905
Mailing Address - Country:US
Mailing Address - Phone:337-235-4578
Mailing Address - Fax:337-235-4570
Practice Address - Street 1:509 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-6905
Practice Address - Country:US
Practice Address - Phone:337-235-4578
Practice Address - Fax:337-235-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY-006091-IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1234931Medicaid
2028310OtherPK
49570Medicare PIN
0993840001Medicare NSC