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Contact Information

THE WELLNESS CORNER, LLC
17733 OLD JEFFERSON HWY
PRAIRIEVILLE, LA70769-3934
 Phone: 225-677-8200
 Fax: 225-677-8201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE WELLNESS CORNER, LLC

NPI # 1700245289
LBN Legal business name THE WELLNESS CORNER, LLC
Authorized official MAX HUFF - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2016
Last updated 07/19/2018 - About 8 years ago
Identifiers
AL License # 114624
GA License # PHNR000397
IA License # 4881
IL License # 054.020608
IN License # 64002439A
KY License # LA2351
LA License # PHY.006397-IR
NC License # 12670
OH License # NRP.022798750-03
TN License # 6121
TX License # 29094
VA License # 214002006
WA License # PHNR.FO.60798674
WI License # 2041-43
Other 2158047 PK
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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