National Provider Identifier Database

LOUISIANA CVS 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

LOUISIANA CVS PHARMACY, L.L.C.
2000 RYAN ST
LAKE CHARLES, LA70601
Phone: 337-439-4241
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

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

NPI Number 1447343157
Legal business name
LBN
LOUISIANA CVS PHARMACY, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 10/02/2006
Last updated 09/13/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 5701
  • LA Medicaid: 1222101
  • TX Medicaid: 691015
  • LA Other: 5766170001 MEDICARE B
  • LA Other: 1932979 NCPDP

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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