Provider Demographics
NPI:1538260658
Name:BEGNEAUD'S PHARMACY
Entity type:Organization
Organization Name:BEGNEAUD'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:B
Authorized Official - Last Name:GANUCHEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-234-9488
Mailing Address - Street 1:1164 COOLIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2619
Mailing Address - Country:US
Mailing Address - Phone:337-234-9488
Mailing Address - Fax:337-234-9480
Practice Address - Street 1:1164 COOLIDGE BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2619
Practice Address - Country:US
Practice Address - Phone:337-234-9488
Practice Address - Fax:337-234-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15749183500000X
LA1190183700000X
LA61-IR333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1203351Medicaid
LA61-IROtherPERMIT
LA1902938OtherNABP
LAC000061-IROtherCDS
LAC000061-IROtherCDS
LA0490130001Medicare NSC