Blakes Southside Pharmacy Inc
LBN: Blakes Southside Pharmacy Phase Ii Llc
Blakes Southside Pharmacy Inc is an health care organization with primary practice located at 808 S. Chataignier Rd , Ville Platte LA 70586. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Blakes Southside Pharmacy Phase Ii Llc can be contacted via phone (337) 363-7497, or through Foret, William L via phone (337) 363-7497.
Contact Information
Primary practice address
808 S. Chataignier Rd
Ville Platte LA 70586
Phone: (337) 363-7497
Fax: (337) 363-0473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10232 | Louisiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1164565933 |
|---|---|
| LBN Legal business name | Blakes Southside Pharmacy Phase Ii Llc |
| DBA Doing business as | Blakes Southside Pharmacy Inc |
| Authorized official | Foret, William L PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 3rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164565933 | NPPES |
| Louisiana | MEDICAID | 1252620 |
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