Landry, Ivan

Landry, Ivan is an individual health care provider with primary practice located at 103 E Main St , Broussard LA 70518-4616. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Landry, Ivan can be contacted via phone (337) 839-8880.

Contact Information

Primary practice address
103 E Main St Broussard LA 70518-4616
Phone: (337) 839-8880
Fax: (337) 839-8881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PST.014938 Louisiana

Profile Details

NPI number 1376954750
LBN Legal business name Landry, Ivan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers