Stella Jan Borges, RPH
Individual provider Active NPI Pharmacist · Lacombe, LA
NPI 1104953736 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104953736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13915 (LA)
- Practice address
- 27395A Hwy 190
Lacombe, LA 70445 - Phone
- (985) 882-3784
- Fax
- (985) 882-5307
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13915 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13915 | LA | Yes |
Addresses
Primary practice location
27395A Hwy 190
Lacombe, LA 70445
Mailing address
380 Winchester Cir
Mandeville, LA 70448-1936
Phone (985) 626-7550
Other providers in Lacombe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.