Provider Demographics
NPI:1578675567
Name:PLAUCHE DRUGS INC
Entity Type:Organization
Organization Name:PLAUCHE DRUGS INC
Other - Org Name:DAVIS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-941-2296
Mailing Address - Street 1:116 JJJ LN
Mailing Address - Street 2:
Mailing Address - City:SIMMESPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71369-2180
Mailing Address - Country:US
Mailing Address - Phone:318-941-2296
Mailing Address - Fax:318-941-2291
Practice Address - Street 1:116 JJJ LN
Practice Address - Street 2:
Practice Address - City:SIMMESPORT
Practice Address - State:LA
Practice Address - Zip Code:71369-2180
Practice Address - Country:US
Practice Address - Phone:318-941-2296
Practice Address - Fax:318-941-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY006300IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2200712Medicaid
2127237OtherPK