Winn Dixie Stores Inc in Destrehan - Community/retail Pharmacy
Winn Dixie Stores Inc - NPI 1104847482
Winn Dixie Stores Inc is a Community/retail Pharmacy in Destrehan, Louisiana. Winn Dixie Stores Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Winn Dixie Stores Inc is 1104847482. The last update date is 2016-09-23.
Winn Dixie Stores Inc's current location address is 12519 Airline Hwy Ste A, Destrehan, Louisiana. You can contact this provider via phone number 9857641318 and fax number 9857641225. The mailing address for Winn Dixie Stores Inc is 12519 Airline Hwy Ste A, Destrehan, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Winn Dixie Stores Inc |
|---|---|
| Address | 12519 Airline Hwy Ste A, Destrehan, Louisiana |
| Phone Number | 9857641318 |
| Fax Number | 9857641225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Grimm M. Sandlin |
| Telephone Number | 9047835578 |
NPI Number Detail
| NPI Number | 1104847482 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-09-23 |
Provider Mailing Address Detail
| Address | 12519 Airline Hwy Ste A |
|---|---|
| City | Destrehan |
| State | Louisiana (LA) |
| Post Code | 700472502 |
| Phone Number | 9857641318 |
| Fax Number | 9857641225 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY.006551-R |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1262234 | LA | -- | |
| 1233617 | LA | -- | |
| 1925924 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Winn Dixie Stores Inc by the Centers for Medicare & Medicaid Services?
The Winn Dixie Stores Inc has been issued the NPI (National Provider Identifier) 1104847482 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Winn Dixie Stores Inc?
The Winn Dixie Stores Inc is situated at 12519 Airline Hwy Ste A, in the city of Destrehan, state of LA, with the zip code 700472502.
What is Winn Dixie Stores Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Winn Dixie Stores Inc is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Winn Dixie Stores Inc receive its 1104847482 assignment from the Centers for Medicare & Medicaid Services?
The Winn Dixie Stores Inc was assigned its 1104847482 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the Winn Dixie Stores Inc's details last updated?
The information pertaining to the Winn Dixie Stores Inc, including its address, specialty, and other details, was most recently updated on 2016-09-23.
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