Evangeline Drug Store Inc in Ville Platte - Compounding Pharmacy
Evangeline Drug Store Inc - NPI 1730277369
Evangeline Drug Store Inc is a Compounding Pharmacy in Ville Platte, Louisiana. Evangeline Drug Store Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Evangeline Drug Store Inc is 1730277369. The last update date is 2020-08-22.
Evangeline Drug Store Inc's current location address is 10 W Main St, Ville Platte, Louisiana. You can contact this provider via phone number 3373633456 and fax number 3373633333. The mailing address for Evangeline Drug Store Inc is 10 W Main St, Ville Platte, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evangeline Drug Store Inc |
|---|---|
| Address | 10 W Main St, Ville Platte, Louisiana |
| Phone Number | 3373633456 |
| Fax Number | 3373633333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHAR |
|---|---|
| Authorized Official Name | Lebas Bernard Harvey |
| Credentials | P.D. |
| Telephone Number | 3373633456 |
NPI Number Detail
| NPI Number | 1730277369 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10 W Main St |
|---|---|
| City | Ville Platte |
| State | Louisiana (LA) |
| Post Code | 705864566 |
| Phone Number | 3373633456 |
| Fax Number | 3373633333 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1214809 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evangeline Drug Store Inc?
The Evangeline Drug Store Inc has been issued the NPI (National Provider Identifier) 1730277369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evangeline Drug Store Inc?
The Evangeline Drug Store Inc is physically situated at 10 W Main St, in the city of Ville Platte, state of LA, with the postal code 705864566.
What is Evangeline Drug Store Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evangeline Drug Store Inc is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.
On what date did the Evangeline Drug Store Inc receive the assignment of its 1730277369 from the Centers for Medicare & Medicaid Services?
The Evangeline Drug Store Inc was issued its 1730277369 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the details pertaining to Evangeline Drug Store Inc last refreshed?
The information related to the Evangeline Drug Store Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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