Provider Demographics
NPI:1598845448
Name:MEDICINE CHEST PHARMACY INC.
Entity Type:Organization
Organization Name:MEDICINE CHEST PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:SOILEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:337-363-8065
Mailing Address - Street 1:409 E LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-3431
Mailing Address - Country:US
Mailing Address - Phone:337-363-8065
Mailing Address - Fax:337-363-0832
Practice Address - Street 1:409 E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-3431
Practice Address - Country:US
Practice Address - Phone:337-363-8065
Practice Address - Fax:337-363-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2031-IR3336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1256609Medicaid
LA1921673OtherNABP NUMBER