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CCC PHARMACY LLC NPI 1205155744


NPI Information

NPI: 1205155744
Provider Name: CCC PHARMACY, LLC

Doing Business As: FUSIONCARE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
180 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 445-8770
Get Directions

CCC PHARMACY, LLC is a pharmacy in Alexandria, LA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CCC PHARMACY, LLC NPI is 1205155744. The provider is registered as an organization entity type.
The provider Is Doing Business As Fusioncare Pharmacy.

The provider's business location address is:

180 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303-535
Phone: (318) 445-8770
Fax: (318) 445-8979

The provider's authorized official is Kevin Paul Robichaux .
The authorized official title is Manager and has the following contact phone number (318) 445-8770.

The enumeration date for this NPI number is 5/24/2010 and was last updated on 8/9/2016.


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
13336L0003XPharmacyLong Term Care PharmacyPHY.006277-IRLOUISIANANo
2333600000XPharmacyYes

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
12200216MEDICAIDLOUISIANA
26488080001MEDICARE NSCLOUISIANA

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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