Provider Demographics
NPI:1902842552
Name:CS DISCOUNT PHARMACY INC
Entity Type:Organization
Organization Name:CS DISCOUNT PHARMACY INC
Other - Org Name:CS DISCOUNT PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:504-455-6780
Mailing Address - Street 1:4650 W ESPLANADE AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2755
Mailing Address - Country:US
Mailing Address - Phone:504-455-6780
Mailing Address - Fax:504-455-6930
Practice Address - Street 1:4650 W ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2755
Practice Address - Country:US
Practice Address - Phone:504-455-6780
Practice Address - Fax:504-455-6930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY005736IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1928259OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1232440001Medicare NSC