Provider Demographics
NPI:1871032128
Name:PHARMACEUTICALS INC.
Entity Type:Organization
Organization Name:PHARMACEUTICALS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:VIALLON
Authorized Official - Suffix:V
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-545-2277
Mailing Address - Street 1:32553 BOWIE ST
Mailing Address - Street 2:
Mailing Address - City:WHITE CASTLE
Mailing Address - State:LA
Mailing Address - Zip Code:70788-2503
Mailing Address - Country:US
Mailing Address - Phone:225-545-2277
Mailing Address - Fax:225-545-2903
Practice Address - Street 1:32553 BOWIE ST
Practice Address - Street 2:
Practice Address - City:WHITE CASTLE
Practice Address - State:LA
Practice Address - Zip Code:70788-2503
Practice Address - Country:US
Practice Address - Phone:225-545-2277
Practice Address - Fax:225-545-2903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.007417-IR183500000X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPHY.007417-IROtherPHARMACY PERMIT NUMBER
LA1609889385OtherCURRENT NPI- MEDICAID MAKING US GET A NEW ONE
LA1609889385OtherCURRENT NPI- MEDICAID MAKING US GET A NEW ONE