# WEST LOUISIANA HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beauregard Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720304801
- **Authorized official:** ALEXANDRE MANITZAS PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (337) 462-7172

## Contact information

- **Practice address:** 600 S PINE ST, DERIDDER, LA 70634-4942
- **Practice address phone:** (337) 462-7172
- **Practice address fax:** (337) 462-7328
- **Mailing address:** 600 S PINE ST, DERIDDER, LA 70634-4942
- **Mailing address phone:** (337) 462-7172
- **Mailing address fax:** (337) 462-7328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 001311 | LA | Yes |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 04/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1912559 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |