De Blanc Drug Store

LBN: De Blanc Drug Store
De Blanc Drug Store is an health care organization with primary practice located at 3111 Grand Rte St John St , New Orleans LA 70119. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. De Blanc Drug Store can be contacted via phone (504) 949-8346, or through Cousins, Robert L via phone (504) 949-8346.

Contact Information

Primary practice address
3111 Grand Rte St John St New Orleans LA 70119
Phone: (504) 949-8346
Fax: (504) 949-5146
Website:
Map and Directions
Authorized official contact:
Name: Cousins, Robert L RPH
Phone: (504) 949-8346

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1618IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306901434
LBN Legal business name De Blanc Drug Store
DBA Doing business as
Authorized official Cousins, Robert L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 24th, 2010 - about 15 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 1306901434 NPPES
Louisiana MEDICAID 1212245
Louisiana Other 1908702

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