VIDRINE PHARMACEUTICAL GROUP LLC NPI 1043838469

NPI Details

VIDRINE PHARMACEUTICAL GROUP, LLC is a compounding pharmacy pharmacy in Lake Charles, LA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. VIDRINE PHARMACEUTICAL GROUP, LLC NPI is 1043838469. The provider is registered as an organization entity type.

The provider's business location address is:

404 E PRIEN LAKE RD
LAKE CHARLES, LA
ZIP 70601-507
Phone: (337) 436-7216

The provider's authorized official is Jesse Vidrine .
The authorized official title is Owner and has the following contact phone number (337) 436-7216.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/13/2020 and was last updated on 7/17/2020.

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: