Provider Demographics
NPI:1811387673
Name:HEALTHSCRIPTS OF AMERICA - SOUTHEAST LOUISIANA, LLC.
Entity Type:Organization
Organization Name:HEALTHSCRIPTS OF AMERICA - SOUTHEAST LOUISIANA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRIKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-8194
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:832-770-8194
Mailing Address - Fax:832-770-8196
Practice Address - Street 1:2395 GAUSE BLVD E
Practice Address - Street 2:SUITE 11
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-6010
Practice Address - Country:US
Practice Address - Phone:832-770-8194
Practice Address - Fax:832-770-8196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.007064-IR3336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy