Provider Demographics
NPI:1326122474
Name:LOUIS J. PARADIS INC.
Entity Type:Organization
Organization Name:LOUIS J. PARADIS INC.
Other - Org Name:PARADIS SHOP-N-SAVE SUPERMARKET/PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PARADIS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:207-834-3020
Mailing Address - Street 1:114 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2709
Mailing Address - Country:US
Mailing Address - Phone:207-498-3545
Mailing Address - Fax:207-498-6692
Practice Address - Street 1:114 HIGH ST
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2709
Practice Address - Country:US
Practice Address - Phone:207-498-3545
Practice Address - Fax:207-498-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPH3908332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2006636OtherNABP
ME2006636OtherNABP
ME1312840001Medicare ID - Type Unspecified