Provider Demographics
NPI:1740890144
Name:DOWNTOWN DRUGS INC
Entity type:Organization
Organization Name:DOWNTOWN DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DUKE
Authorized Official - Last Name:MORVANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:985-898-9958
Mailing Address - Street 1:338 N VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2812
Mailing Address - Country:US
Mailing Address - Phone:985-898-9958
Mailing Address - Fax:985-898-9960
Practice Address - Street 1:338 N VERMONT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2812
Practice Address - Country:US
Practice Address - Phone:985-898-9958
Practice Address - Fax:985-898-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA57856OtherLA BOARD OF PHARMACY
LA57856OtherLA BOARD OF PHARMACY