Provider Demographics
NPI:1922012913
Name:GUILBEAUS PHARMACY INC
Entity Type:Organization
Organization Name:GUILBEAUS PHARMACY INC
Other - Org Name:THRIFTY WAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:GUILBEAU
Authorized Official - Last Name:HUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-896-3241
Mailing Address - Street 1:208 E SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-4009
Mailing Address - Country:US
Mailing Address - Phone:337-896-3241
Mailing Address - Fax:337-896-6741
Practice Address - Street 1:208 E SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-4009
Practice Address - Country:US
Practice Address - Phone:337-896-3241
Practice Address - Fax:337-896-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA441IR3336C0003X, 3336C0003X
3336C0004X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1218723Medicaid
1902750OtherNCPDP PROVIDER IDENTIFICATION NUMBER
LA1218723Medicaid