Organization
P P S I OF VILLE PLATTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G SOILEAU (OWNER)
(337) 363-2183
Entity
Organization
Contact information
Practice address
409A E LINCOLN RD, VILLE PLATTE, LA 70586-3431
(337) 363-2183
(337) 363-2187
Mailing address
409A E LINCOLN RD, VILLE PLATTE, LA 70586-3431
(337) 363-2183
(337) 363-2187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2536-IR
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
2536-IR
LA
3336C0003X
Community/Retail Pharmacy
2536-IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
2536-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274372
—
LA
01
—
1925203
NABP NUMBER
LA
01
—
53031
BCBS PROVIDER NUMBER
LA
Enumeration date
03/14/2006
Last updated
01/20/2011
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