National Provider Identifier Database

CCC PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CCC PHARMACY, LLC
180 WINDERMERE BLVD
ALEXANDRIA, LA71303-3535
Phone: 318-445-8770
Fax: 318-445-8979
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for CCC PHARMACY, LLC

NPI Number 1205155744
Legal business name
LBN
CCC PHARMACY, LLC
Authorized official KEVIN ROBICHAUX - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/24/2010
Last updated 08/09/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: PHY.006277-IR
  • LA Medicaid: 2200216

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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