Moss Memorial Clinic Pharmacy

LBN: Southwest Louisiana Hospital Association Inc
Moss Memorial Clinic Pharmacy is an health care organization with primary practice located at 1000 Walters St , Lake Charles LA 70607-4647. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southwest Louisiana Hospital Association Inc can be contacted via phone (337) 480-8273, or through Johnson-Hatcher, Dawn via phone (337) 494-2094.

Contact Information

Primary practice address
1000 Walters St Lake Charles LA 70607-4647
Fax: (337) 480-8316
Website:
Authorized official contact:
Name: Johnson-Hatcher, Dawn

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.006714-IR Louisiana

Profile Details

NPI number 1922150564
LBN Legal business name Southwest Louisiana Hospital Association Inc
DBA Doing business as Moss Memorial Clinic Pharmacy
Authorized official Johnson-Hatcher, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 4th, 2023 - about 2 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 1922150564 NPPES
Louisiana MEDICAID 2204670
Louisiana Other 2141145

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