Provider Demographics
NPI:1144382631
Name:C & R BIBBEE LLC
Entity Type:Organization
Organization Name:C & R BIBBEE LLC
Other - Org Name:C & R DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBBEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:318-985-2104
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:MOREAUVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71355
Mailing Address - Country:US
Mailing Address - Phone:318-985-2104
Mailing Address - Fax:318-985-2604
Practice Address - Street 1:10663 HWY 1
Practice Address - Street 2:
Practice Address - City:MOREAUVILLE
Practice Address - State:LA
Practice Address - Zip Code:71355
Practice Address - Country:US
Practice Address - Phone:318-985-2104
Practice Address - Fax:318-985-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912066OtherNCPDP
LA1234516Medicaid