Provider Demographics
NPI:1841236205
Name:STERLING ASSOCIATES INC
Entity Type:Organization
Organization Name:STERLING ASSOCIATES INC
Other - Org Name:STERLING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-513-1688
Mailing Address - Street 1:205 E REYNOLDS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2852
Mailing Address - Country:US
Mailing Address - Phone:318-513-1688
Mailing Address - Fax:318-513-1677
Practice Address - Street 1:205 E REYNOLDS DR
Practice Address - Street 2:SUITE C
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2852
Practice Address - Country:US
Practice Address - Phone:318-513-1688
Practice Address - Fax:318-513-1677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336I0012X
LAPHY.004944-IR3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1269573Medicaid
2035047OtherPK
4667080001Medicare NSC