Provider Demographics
NPI:1255491783
Name:PEACE MANAGEMENT INC
Entity Type:Organization
Organization Name:PEACE MANAGEMENT INC
Other - Org Name:LACOUR'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARBIN
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:318-941-2423
Mailing Address - Street 1:16237 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SIMMESPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71369-2157
Mailing Address - Country:US
Mailing Address - Phone:318-941-2423
Mailing Address - Fax:318-941-2549
Practice Address - Street 1:16237 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SIMMESPORT
Practice Address - State:LA
Practice Address - Zip Code:71369-2157
Practice Address - Country:US
Practice Address - Phone:318-941-2423
Practice Address - Fax:318-941-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1262102Medicaid
LA8181-IROtherLOUISIANA PHARMACY PERMIT