Medicine Shoppe

LBN: Southern Pharmacy Services
Medicine Shoppe is an health care organization with primary practice located at 704 N Parkerson Ave , Crowley LA 70526-4355. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southern Pharmacy Services can be contacted via phone (337) 783-9084, or through Freed, Brandy via phone (337) 783-9084.

Contact Information

Primary practice address
704 N Parkerson Ave Crowley LA 70526-4355
Fax: (337) 783-9085
Website:
Authorized official contact:
Name: Freed, Brandy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6171 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 6171 Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X 6171 Louisiana

Profile Details

NPI number 1073742722
LBN Legal business name Southern Pharmacy Services
DBA Doing business as Medicine Shoppe
Authorized official Freed, Brandy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2009
Last updated Aug 18th, 2016 - about 9 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 1073742722 NPPES
Louisiana MEDICAID 1235253
Louisiana Other 5DK78

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