Eastins Pharmacy

LBN: Enicke Enterprises Inc
Eastins Pharmacy is an health care organization with primary practice located at 1535 W Main St Suite 2, Ville Platte LA 70586-2867. 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. Enicke Enterprises Inc can be contacted via phone (337) 363-6668, or through Enicke, Jana via phone (337) 831-5137.

Contact Information

Primary practice address
1535 W Main St Suite 2 Ville Platte LA 70586-2867
Fax: (337) 363-5072
Website:
Authorized official contact:
Name: Enicke, Jana

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY006486IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1649311333
LBN Legal business name Enicke Enterprises Inc
DBA Doing business as Eastins Pharmacy
Authorized official Enicke, Jana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 18th, 2014 - 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 1649311333 NPPES
Louisiana MEDICAID 2201352
Louisiana MEDICAID 1262587
Louisiana Other 2133677

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