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Contact Information

CCC PHARMACY, LLC
180 WINDERMERE BLVD
ALEXANDRIA, LA71303-3535
 Phone: 318-445-8770
 Fax: 318-445-8979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CCC PHARMACY, LLC

NPI # 1205155744
LBN Legal business name CCC PHARMACY, LLC
Authorized official KEVIN ROBICHAUX - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2010
Last updated 08/09/2016 - About 10 years ago
Identifiers
LA License # PHY.006277-IR
LA Medicaid 2200216
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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