Rouses Enterprises LLC
Organization Active NPI Community/Retail Pharmacy · Lockport, LA
NPI 1811086002 · NPPES record last updated Jun 27, 2014
Key facts
- NPI
- 1811086002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY003457IR (LA)
- Legal business name
- ROUSES ENTERPRISES LLC
- Practice address
- 1428 Crescent Ave
Lockport, LA 70374-3106 - Phone
- (985) 532-2545
- Fax
- (985) 532-5567
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Allison Royster, R.PH.
- Title
- Owner/Mngng MBR
- Phone
- (985) 447-5998
Corporate family (same tax ID) 3
Practitioners 1
-
Joseph Bosworth, R.PH.
National Provider Directory
- Tax ID family
- Rouse'S Discount Pharmacy
Locations
1428 Crescent Ave
Lockport, LA 70374
Phone (985) 532-2545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY003457IR | LA | Yes |
Addresses
Primary practice location
1428 Crescent Ave
Lockport, LA 70374-3106
Mailing address
PO Box 5358
Thibodaux, LA 70302-5358
Phone (985) 447-5998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1263931 | Medicaid | LA | |
| 2033622 | Other | PK |
Other names
- ROUSES MARKET #24
Other providers in Lockport, LA
- April P Pierce
- Gabrielle Steib Prejean
- Ronald J Robichaux
- Simone Robichaux
- Cassie Savoie Rogers
- Swift Medical Transportation LLC
- Synergy Healthcare, Inc
- Amelia Williams
- Brock J Williams
All providers in Lockport, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2014. 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.