Clinic Pharmacy
LBN: Jab Clinic Pharmacy Inc
Clinic Pharmacy is an health care organization with primary practice located at 604 Belue Ln Suite A, Ruston LA 71270-3870. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jab Clinic Pharmacy Inc can be contacted via phone (318) 251-6385, or through Bennett, Jeffrey via phone (318) 251-6385.
Contact Information
Primary practice address
604 Belue Ln Suite A
Ruston LA 71270-3870
Phone: (318) 251-6385
Fax: (318) 255-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY.003899-IR | Louisiana |
Profile Details
| NPI number | 1053410811 |
|---|---|
| LBN Legal business name | Jab Clinic Pharmacy Inc |
| DBA Doing business as | Clinic Pharmacy |
| Authorized official | Bennett, Jeffrey RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 20th, 2014 - about 11 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 | 1053410811 | NPPES |
| Louisiana | MEDICAID | 1264784 | |
| Louisiana | Other | 2032265 |
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