Provider Demographics
NPI:1467862284
Name:DUPLANTIS PHARMACY LLC
Entity Type:Organization
Organization Name:DUPLANTIS PHARMACY LLC
Other - Org Name:LLOYD'S REMEDIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DUPLANTIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS, RPH
Authorized Official - Phone:318-578-1096
Mailing Address - Street 1:3696 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-6122
Mailing Address - Country:US
Mailing Address - Phone:318-578-1096
Mailing Address - Fax:
Practice Address - Street 1:3696 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6122
Practice Address - Country:US
Practice Address - Phone:985-872-4547
Practice Address - Fax:985-580-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1588942783OtherIMMUNIZATION
LA1588942783OtherIMMUNIZATION