Organization
SBS HOLDINGS LLC
Active
Other names
PRECISION COMPOUNDING SPECIALIST
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SUMMERSGILL (OWNER)
(985) 327-0100
Entity
Organization
Contact information
Practice address
21385 MARION LN, SUITE B, MANDEVILLE, LA 70471-8714
(985) 327-0100
(985) 327-0105
Mailing address
21385 MARION LN, SUITE B, MANDEVILLE, LA 70471-8714
(985) 327-0100
(985) 327-0105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935470
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2011
Last updated
01/18/2011
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