<Unavail>

LBN: Ccc Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 180 Windermere Blvd , Alexandria LA 71303-3535. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Ccc Pharmacy Llc can be contacted via phone (318) 445-8770, or through Robichaux, Kevin Paul via phone (318) 445-8770.

Contact Information

Primary practice address
180 Windermere Blvd Alexandria LA 71303-3535
Fax: (318) 445-8979
Website:
Authorized official contact:
Name: Robichaux, Kevin Paul

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY006277-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X PHY-0622IR Louisiana

Profile Details

NPI number 1467755264
LBN Legal business name Ccc Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Robichaux, Kevin Paul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2010
Last updated Jan 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467755264 NPPES
Louisiana MEDICAID 2200216

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