Maple Avenue Pharmacy

LBN: Maple Avenue Pharmacy Inc
Maple Avenue Pharmacy is an health care organization with primary practice located at 1200 W Maple Ave , Eunice LA 70535-4320. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maple Avenue Pharmacy Inc can be contacted via phone (337) 457-5216, or through Courville, August via phone (337) 580-1485.

Contact Information

Primary practice address
1200 W Maple Ave Eunice LA 70535-4320
Phone: (337) 457-5216
Fax: (337) 457-0920
Website:
Map and Directions
Authorized official contact:
Name: Courville, August
Phone: (337) 580-1485

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY006500 Louisiana

Profile Details

NPI number 1982791174
LBN Legal business name Maple Avenue Pharmacy Inc
DBA Doing business as Maple Avenue Pharmacy
Authorized official Courville, August
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Sep 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982791174 NPPES
Louisiana MEDICAID 2201506
Louisiana Other 2135863

Popular Providers