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Contact Information

DONALD L ENGLERTH
7584 GILBERT ST
GILBERT, LA71336
 Phone: 318-435-5702
 Fax: 318-435-4883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DONALD L ENGLERTH

NPI Number 1538237326
LBN Legal business name DONALD L ENGLERTH
Authorized official DONALD ENGLERTH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 02/18/2011 - About 15 years ago
Identifiers
LA License # PHY001657IR
LA Medicaid 9343
Other 1918929 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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