Organization
WALTER BIRDSALL PHARMACY INC
Active
Other names
WALTER BIRDSALL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER BIRDSALL RPH (PRESIDENT / PIC)
(985) 632-5003
Entity
Organization
Contact information
Practice address
118 W 111TH ST, CUT OFF, LA 70345-3620
(985) 632-5003
(985) 632-5083
Mailing address
PO BOX 840, CUT OFF, LA 70345-0840
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY001188IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204421
—
LA
01
—
2028711
PK
—
Enumeration date
10/03/2006
Last updated
04/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up