Provider Demographics
NPI:1518290832
Name:SCHORR PHARMACY CORP
Entity Type:Organization
Organization Name:SCHORR PHARMACY CORP
Other - Org Name:ROBERT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-340-4195
Mailing Address - Street 1:304 AUDUBON AVE
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3643
Mailing Address - Country:US
Mailing Address - Phone:985-340-4194
Mailing Address - Fax:985-340-2127
Practice Address - Street 1:44354 HIGHWAY 445 STE B
Practice Address - Street 2:
Practice Address - City:ROBERT
Practice Address - State:LA
Practice Address - Zip Code:70455-1999
Practice Address - Country:US
Practice Address - Phone:985-340-4194
Practice Address - Fax:985-340-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LA62253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2122386OtherPK