Louisiana CVS Pharmacy, L.L.C.
Organization Active NPI Pharmacy · Houma, LA
NPI 1609970516 · NPPES record last updated Mar 3, 2009
Key facts
- NPI
- 1609970516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 5367 (LA)
- Legal business name
- LOUISIANA CVS PHARMACY, L.L.C.
- Practice address
- 437 Grand Caillou Rd
Houma, LA 70363-5165 - Phone
- (985) 876-5410
- Fax
- (985) 876-3933
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cristiana Mauricio
- Title
- MGR Phcy Enrollments
- Phone
- (401) 770-2937
Corporate family (same tax ID) 24
Practitioners 1
-
Scarlett Theresa Nero, PHARM.D
National Provider Directory
- Tax ID family
- CVS Pharmacy LLC
Locations
437 Grand Caillou Rd
Houma, LA 70363
Phone (985) 876-5410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5367 | LA | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
437 Grand Caillou Rd
Houma, LA 70363-5165
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901429 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 001265365 | Medicaid | LA |
Other names
- CVS PHARMACY
Other providers in Houma, LA
- Louis Infant Crisis Center
- Evola N Louis
- Louisiana CVS Pharmacy LLC
- Louisiana CVS Pharmacy LLC
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana Em-I Medical Services, a Medical Corporation
- Louisiana Home Healthcare Partners, LLC
- Louisiana Home Visits MD L.L.C.
- Louisiana Medshield LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2009. 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.