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BORDELONS SUPER SAVE INC NPI 1912094194


NPI Information

NPI: 1912094194
Provider Name: BORDELONS SUPER SAVE INC

Doing Business As: BORDELON'S SUPER SAVE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 19D2208897

Address:
6920 PLANK RD
BATON ROUGE, LA
ZIP 70811
Phone: (225) 356-0654
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BORDELONS SUPER SAVE INC is a community/retail pharmacy pharmacy in Baton Rouge, 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. BORDELONS SUPER SAVE INC NPI is 1912094194. The provider is registered as an organization entity type.
The provider Is Doing Business As Bordelon's Super Save Pharmacy.

The provider's business location address is:

6920 PLANK RD
BATON ROUGE, LA
ZIP 70811-041
Phone: (225) 356-0654
Fax: (225) 357-7936

The provider's authorized official is John David May .
The authorized official title is Pharmacist and has the following contact phone number (225) 356-0654.

The CLIA number assigned to this NPI record is 19D2208897 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 2/22/2018.


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.000087-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
11240664MEDICAIDLOUISIANA

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: 4/28/2024

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