Provider Demographics
NPI:1982692778
Name:INSTITUTIONAL PHARMACIES OF LOUISIANA L L C
Entity Type:Organization
Organization Name:INSTITUTIONAL PHARMACIES OF LOUISIANA L L C
Other - Org Name:INSTITUTIONAL PHARMACIES OF LA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-268-4023
Mailing Address - Street 1:106 ABIGAYLE ROW
Mailing Address - Street 2:
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-8909
Mailing Address - Country:US
Mailing Address - Phone:337-268-4023
Mailing Address - Fax:337-268-9390
Practice Address - Street 1:106 ABIGAYLE ROW
Practice Address - Street 2:
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-8909
Practice Address - Country:US
Practice Address - Phone:337-268-4023
Practice Address - Fax:337-268-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336I0012X
LAC005169IR3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1271179Medicaid
LAPHY.008178-IROtherLOUISIANA BOARD OF PHARMACY
2035180OtherPK
LA2208209Medicaid