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
Phone: (337) 480-8273
Fax: (337) 480-8316
Website:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1922150564 | NPPES |
| Louisiana | MEDICAID | 2204670 | |
| Louisiana | Other | 2141145 |
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