Provider Information for 1760479117
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TECHE DRUGS, INC.
Organization Subpart: NO
NPI: 1760479117
Last Updated: 2024-05-23
Certification Date: 2024-05-23
Certification Date: 2024-05-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760479117 | ||||||||||||
| Enumeration Date | 2005-09-30 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| Authorized Official Information | Name: RYAN M DARTEZ Title: President, Owner, PIC,AO Phone: 3372354578 | ||||||||||||
| Mailing Address | 509 JEFFERSON ST LAFAYETTE, LA 70501-6905 United States Phone: 337-235-4578 | Fax:337-235-4570 | ||||||||||||
| Primary Practice Address | 509 JEFFERSON ST LAFAYETTE, LA 70501-6905 United States Phone: 337-235-4578 | Fax:337-235-4570 | ||||||||||||
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