Provider Demographics
NPI:1760686869
Name:HOUMA FAMILY DRUGS
Entity Type:Organization
Organization Name:HOUMA FAMILY DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ARCENEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:985-872-2552
Mailing Address - Street 1:606 LIBERTY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4622
Mailing Address - Country:US
Mailing Address - Phone:985-872-2552
Mailing Address - Fax:985-872-2532
Practice Address - Street 1:606 LIBERTY ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4622
Practice Address - Country:US
Practice Address - Phone:985-872-2552
Practice Address - Fax:985-872-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13409333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy