Provider Demographics
NPI:1750481636
Name:VP FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:VP FAMILY PHARMACY LLC
Other - Org Name:VILLE PLATTE CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:416-825-4430
Mailing Address - Street 1:505 JACK MILLER RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-5627
Mailing Address - Country:US
Mailing Address - Phone:337-363-0941
Mailing Address - Fax:337-363-0945
Practice Address - Street 1:505 JACK MILLER RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586
Practice Address - Country:US
Practice Address - Phone:337-363-0941
Practice Address - Fax:337-363-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2903IR333600000X
LADEABV3696183333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1261237Medicaid
LA1261637Medicaid
LA1925304OtherNABPA