Evangeline Drug Store Inc

NPI 1730277369

Information of Evangeline Drug Store Inc

The NPI 1730277369 is an Organization type. NPI No 1730277369 belongs to Evangeline Drug Store Inc. Evangeline Drug Store Inc specializes in Durable Medical Equipment & Medical Supplies. is practising at 10 W Main St, Ville Platte, Louisiana 70586. You can also contact him via phone number (337) 363-3456.

Practice address located

  • 10 W Main St
  • Ville Platte, Louisiana 70586
  • (337) 363-3456
  • (337) 363-3456

Mailling address located

  • 10 W Main St
  • Ville Platte, Louisiana 70586
  • (337) 363-3456
  • (337) 363-3333
Evangeline Drug Store Inc is PECOS enrolled.
NPI No 1730277369
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
n/a332B00000XDurable Medical Equipment & Medical Suppliesn/an/a
n/a3336C0003XCommunity/Retail Pharmacy342-IRLouisiana
n/a3336C0004XCompounding Pharmacyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
LA1242810001Medicare ID-Type Unspecifiedn/a
LA1214809Medicaidn/a
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