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LOUISIANA FAMILY MEDICINE CLINIC

Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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Contact Information

LOUISIANA FAMILY MEDICINE CLINIC
2890 DOUGLAS DR
STE. 100
BOSSIER CITY, LA  71111-5806
 Phone: 318-742-6900
 Fax: 318-742-3900
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

 332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LOUISIANA FAMILY MEDICINE CLINIC

NPI Number 1174903249
LBN Legal business name LOUISIANA FAMILY MEDICINE CLINIC
Authorized official DIRK RAINWATER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2015
Last updated 06/04/2015 - About 11 years ago
Identifiers n/a
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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