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Contact Information

LOUISIANA CVS PHARMACY, L.L.C.
4828 NELSON RD
LAKE CHARLES, LA70605
 Phone: 337-477-9068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1487720314
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 11/24/2006
Last updated 09/13/2017 - About 9 years ago
Identifiers
LA License # 5724
TX Medicaid 691019
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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