David Raines Community Health Centers Pharmacy

LBN: David Raines Community Health Center Inc
David Raines Community Health Centers Pharmacy is an health care organization with primary practice located at 1514 Doctors Dr , Bossier City LA 71111-3379. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. David Raines Community Health Center Inc can be contacted via phone (318) 841-6057, or through White, Willie via phone (318) 227-3342.

Contact Information

Primary practice address
1514 Doctors Dr Bossier City LA 71111-3379
Fax: (318) 841-6058
Website:
Authorized official contact:
Name: White, Willie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY006318IR Louisiana
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639489990
LBN Legal business name David Raines Community Health Center Inc
DBA Doing business as David Raines Community Health Centers Pharmacy
Authorized official White, Willie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2010
Last updated Dec 22nd, 2016 - about 9 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 1639489990 NPPES
Other 2127483 PK

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