Organization
PELICAN MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANN ADAIR (OWNER)
(985) 227-7800
Entity
Organization
Contact information
Practice address
1303 CANAL BLVD, THIBODAUX, LA 70301-5217
(985) 227-7800
(985) 227-9266
Mailing address
1303 CANAL BLVD, THIBODAUX, LA 70301-5217
(985) 227-7800
(985) 227-9266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324314
—
LA
Enumeration date
05/22/2012
Last updated
07/23/2024
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