Provider Demographics
NPI:1740205616
Name:C & C DRUGS, INC.
Entity Type:Organization
Organization Name:C & C DRUGS, INC.
Other - Org Name:C & C VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-626-0234
Mailing Address - Street 1:2803 HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1936
Mailing Address - Country:US
Mailing Address - Phone:985-626-0234
Mailing Address - Fax:985-626-0227
Practice Address - Street 1:2803 HWY 59
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1950
Practice Address - Country:US
Practice Address - Phone:985-626-0234
Practice Address - Fax:985-626-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5616-IR332B00000X, 332BP3500X, 333600000X, 3336C0003X, 3336C0004X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
173082100OtherLUNG PHARMACY
LA1206687Medicaid
173082100OtherOWCP PHARMACY
=========OtherHUMANAMILITA
=========OtherTRICARE HIT
LA=========AOtherBCBS DME
173082100OtherOWCP PHARMACY
=========OtherHUMANAMILITA
173082100OtherLUNG PHARMACY
173082100OtherOWCP PHARMACY