Organization
MESHELLS HOME RESPIRATORY MEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE G FAWCETT (OWNER)
(337) 217-1308
Entity
Organization
Contact information
Practice address
2880 N HIGHWAY 171, SUITE B, LAKE CHARLES, LA 70611-4330
(337) 217-1308
(337) 217-1235
Mailing address
2880 N HIGHWAY 171, SUITE B, LAKE CHARLES, LA 70611-4330
(337) 217-1308
(337) 217-1235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271586
—
LA
01
—
331931585X
BCBSL PROVIDER NUMBER
LA
Enumeration date
11/18/2005
Last updated
07/08/2008
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