Pmo Pharmacy Management Shreveport
LBN: Polks Crossgates Discount Drugs Inc
Pmo Pharmacy Management Shreveport is an health care organization with primary practice located at 2255 Woodward Ave , Shreveport LA 71103-3547. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Polks Crossgates Discount Drugs Inc can be contacted via phone (318) 429-0161, or through Gibbs, Janet D via phone (318) 429-0161.
Contact Information
Primary practice address
2255 Woodward Ave
Shreveport LA 71103-3547
Phone: (318) 429-0161
Fax: (318) 429-0163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5223 | Louisiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5223 | Louisiana |
Profile Details
| NPI number | 1265538664 |
|---|---|
| LBN Legal business name | Polks Crossgates Discount Drugs Inc |
| DBA Doing business as | Pmo Pharmacy Management Shreveport |
| Authorized official | Gibbs, Janet D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Feb 1st, 2008 - about 16 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 | 1265538664 | NPPES |
| Louisiana | MEDICAID | 1271357 | |
| Louisiana | MEDICAID | 200022580A | |
| Louisiana | MEDICAID | 580101 |
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