Teche Action Clinic Pharmacy

LBN: Teche Action Board, Inc.
Teche Action Clinic Pharmacy is an health care organization with primary practice located at 1115 Weber St , Franklin LA 70538-4124. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Teche Action Board, Inc. can be contacted via phone (337) 828-2550, or through Bonvillain, Kirby Wayne via phone (985) 851-1717.

Contact Information

Primary practice address
1115 Weber St Franklin LA 70538-4124
Phone: (337) 828-2550
Fax: (337) 828-2791
Website:
Map and Directions
Authorized official contact:
Name: Bonvillain, Kirby Wayne
Phone: (985) 851-1717

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 002217 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134205925
LBN Legal business name Teche Action Board, Inc.
DBA Doing business as Teche Action Clinic Pharmacy
Authorized official Bonvillain, Kirby Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 15th, 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 1134205925 NPPES
Other 1925277 NCPDP PROVIDER IDENTIFICATION NUMBER
Other 1925277 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1267538 NCPDP PROVIDER IDENTIFICATION NUMBER

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