Provider Demographics
NPI:1346396355
Name:BIER'S PHARMACY INC
Entity Type:Organization
Organization Name:BIER'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MONTEILH
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-783-3023
Mailing Address - Street 1:410 N PARKERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-5047
Mailing Address - Country:US
Mailing Address - Phone:337-783-3023
Mailing Address - Fax:337-788-1549
Practice Address - Street 1:410 N PARKERSON AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-5047
Practice Address - Country:US
Practice Address - Phone:337-783-3023
Practice Address - Fax:337-788-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1633IR183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1204200Medicaid
LA1904829OtherNABP
LA1204200Medicaid