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TECHE ACTION BOARD INC NPI 1679726459


NPI Information

NPI: 1679726459
Provider Name: TECHE ACTION BOARD INC

Doing Business As: TECHE ACTION CLINIC PHARMACY @ HOUMA

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1014 W TUNNEL BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 851-1717
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TECHE ACTION BOARD INC is a community/retail pharmacy pharmacy in Houma, LA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TECHE ACTION BOARD INC NPI is 1679726459. The provider is registered as an organization entity type.
The provider Is Doing Business As Teche Action Clinic Pharmacy @ Houma.

The provider's business location address is:

1014 W TUNNEL BLVD
HOUMA, LA
ZIP 70360-050
Phone: (985) 851-1717
Fax: (985) 851-7247

The provider's authorized official is Kirby Bonvillain .
The authorized official title is Pharmacy Director and has the following contact phone number (337) 355-2316.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 11/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPHY.006025-IRLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11234982MEDICAIDLOUISIANA
22117681OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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