Life Coast Community Health Center INC
Pharmacy in Houma, LA. Organization (NPI-2).
NPI number1962288043
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1962288043
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Coast Community Health Center INC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
605 Enterprise Dr Ste DHouma, LA 70360-5405
Phone 985-360-3755 · Fax 985-879-4580
Mailing address
1101 Audubon Ave Ste S1Thibodaux, LA 70301-4957
Phone 985-492-6170 · Fax 985-492-6177
Authorized official
Diane Webre
Clinic Manager
9854926170
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