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Contact Information

LOUISIANA CVS PHARMACY, L.L.C.
1540 N MARKET ST
SHREVEPORT, LA71107
 Phone: 318-424-1429
 Fax: 318-221-6640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for LOUISIANA CVS PHARMACY, L.L.C.

NPI # 1285731760
LBN Legal business name LOUISIANA CVS PHARMACY, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 02/29/2012 - About 14 years ago
Identifiers
LA License # 5772
LA Medicaid 001265675
Other 1901796 OTHER ID NUMBER-COMMERCIAL 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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