Phoenix Pharmacy

LBN: Phoenix Rexall Drugs Inc
Phoenix Pharmacy is an health care organization with primary practice located at 101 N 3Rd St , Leesville LA 71446-4013. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Phoenix Rexall Drugs Inc can be contacted via phone (337) 239-3421, or through Wann, Cynthia via phone (337) 239-3421.

Contact Information

Primary practice address
101 N 3Rd St Leesville LA 71446-4013
Phone: (337) 239-3421
Fax: (337) 392-6212
Website:
Map and Directions
Authorized official contact:
Name: Wann, Cynthia CPT
Phone: (337) 239-3421

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 891IR Louisiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1609986116
LBN Legal business name Phoenix Rexall Drugs Inc
DBA Doing business as Phoenix Pharmacy
Authorized official Wann, Cynthia CPT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 2nd, 2011 - about 13 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 1609986116 NPPES
Other 1907027 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1233854 NCPDP PROVIDER IDENTIFICATION NUMBER

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