Broadmoor Drug Center

LBN: Broadmoor Drug Center Inc
Broadmoor Drug Center is an health care organization with primary practice located at 6096 W Park Ave , Houma LA 70364-1808. 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. Broadmoor Drug Center Inc can be contacted via phone (985) 876-2584, or through Pellegrin, Dean via phone (985) 876-2584.

Contact Information

Primary practice address
6096 W Park Ave Houma LA 70364-1808
Phone: (985) 876-2584
Fax: (985) 876-5050
Website:
Map and Directions
Authorized official contact:
Name: Pellegrin, Dean PD
Phone: (985) 876-2584

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 100IR Louisiana

Profile Details

NPI number 1417026360
LBN Legal business name Broadmoor Drug Center Inc
DBA Doing business as Broadmoor Drug Center
Authorized official Pellegrin, Dean PD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 19th, 2018 - about 6 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 1417026360 NPPES
Other 2028734 PK
MEDICAID 1205745 PK

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