Eddie'S Pharmacy, Inc.

LBN: Eddie'S Pharmacy, Inc.
Eddie'S Pharmacy, Inc. is an health care organization with primary practice located at 206 Choupique Ln , Cottonport LA 71327-3757. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Eddie'S Pharmacy, Inc. can be contacted via phone (318) 876-3665, or through Bordelon, Roland Eddie via phone (318) 876-3665.

Contact Information

Primary practice address
206 Choupique Ln Cottonport LA 71327-3757
Phone: (318) 876-3665
Fax: (318) 876-3665
Website:
Map and Directions
Authorized official contact:
Name: Bordelon, Roland Eddie R.PH.
Phone: (318) 876-3665

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1692-IR Louisiana

Profile Details

NPI number 1306837141
LBN Legal business name Eddie'S Pharmacy, Inc.
DBA Doing business as
Authorized official Bordelon, Roland Eddie R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Mar 7th, 2023 - about 3 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 1306837141 NPPES
Louisiana MEDICAID 1253626
Louisiana Other 1919337

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