Organization
BEENE FAMILY PHARMACY LLC
Active
Other names
Beene's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SAAD (PRESIDENT)
(681) 238-2860
Entity
Organization
Contact information
Practice address
402 E DARROW ST, TALLULAH, LA 71282-3512
(318) 574-1351
(318) 574-0539
Mailing address
402 E DARROW ST, TALLULAH, LA 71282-3512
(318) 574-1351
(318) 574-0539
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4366IR
LA
3336L0003X
Long Term Care Pharmacy
4366IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1929326
NCPDP
LA
05
—
2210122
—
LA
Enumeration date
05/25/2006
Last updated
05/28/2024
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