Ted'S Pharmacy

LBN: Ted S Pharmacy Llc
Ted'S Pharmacy is an health care organization with primary practice located at 1866 Main St , Haynesville LA 71038-4904. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ted S Pharmacy Llc can be contacted via phone (318) 624-1053, or through Ware, Dan via phone (318) 624-1053.

Contact Information

Primary practice address
1866 Main St Haynesville LA 71038-4904
Phone: (318) 624-1053
Fax: (318) 624-2233
Website:
Map and Directions
Authorized official contact:
Name: Ware, Dan
Phone: (318) 624-1053

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.005750-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1538288113
LBN Legal business name Ted S Pharmacy Llc
DBA Doing business as Ted'S Pharmacy
Authorized official Ware, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Sep 11th, 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 1538288113 NPPES
Other 2029769 PK
MEDICAID 1269719 PK

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