Qvl Pharmacy #222

LBN: Ss Baton Rouge Llc
Qvl Pharmacy #222 is an health care organization with primary practice located at 5454 Bluebonnet Rd Ste H, Baton Rouge LA 70809-2986. 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. Ss Baton Rouge Llc can be contacted via phone (225) 767-6329, or through Collins, Gary Chad via phone (214) 624-3050.

Contact Information

Primary practice address
5454 Bluebonnet Rd Ste H Baton Rouge LA 70809-2986
Phone: (225) 767-6329
Fax: (225) 767-8726
Website:
Map and Directions
Authorized official contact:
Name: Collins, Gary Chad
Phone: (214) 624-3050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5449RC Louisiana

Profile Details

NPI number 1912950536
LBN Legal business name Ss Baton Rouge Llc
DBA Doing business as Qvl Pharmacy #222
Authorized official Collins, Gary Chad
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Jun 17th, 2014 - about 10 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 1912950536 NPPES
Louisiana MEDICAID 1274542
Louisiana Other 2035022

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