Provider Demographics
NPI:1437700549
Name:NEIGHBORS PHARMACY
Entity Type:Organization
Organization Name:NEIGHBORS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-962-6877
Mailing Address - Street 1:6770 JOHNSTON ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-6202
Mailing Address - Country:US
Mailing Address - Phone:337-706-7706
Mailing Address - Fax:
Practice Address - Street 1:6770 JOHNSTON ST STE A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-6202
Practice Address - Country:US
Practice Address - Phone:337-706-7706
Practice Address - Fax:337-706-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2207008Medicaid