Poinciana Clinic Pharmacy

LBN: Poinciana Clinic Pharmacy
Poinciana Clinic Pharmacy is an health care organization with primary practice located at 1508 Cajun Dr Ste A, Mamou LA 70554-2400. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Poinciana Clinic Pharmacy can be contacted via phone (337) 468-5001, or through Soileau, Terry via phone (337) 468-5001.

Contact Information

Primary practice address
1508 Cajun Dr Ste A Mamou LA 70554-2400
Phone: (337) 468-5001
Fax: (337) 468-5102
Website:
Map and Directions
Authorized official contact:
Name: Soileau, Terry PHRM
Phone: (337) 468-5001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1688RI Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033284617
LBN Legal business name Poinciana Clinic Pharmacy
DBA Doing business as
Authorized official Soileau, Terry PHRM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1033284617 NPPES
Louisiana MEDICAID 1253634
Louisiana Other 1918981

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