Organization · Type 2 NPI

Blakes Southside Pharmacy Phase II LLC

Community/Retail Pharmacy · Ville Platte, LA

NPI number 1164565933 Active

Practice location

808 S. Chataignier Rd
Ville Platte, LA 70586

Fax (337) 363-0473

Specialties and licenses

Taxonomy	Code	License
Pharmacist	183500000X	10232 (LA)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1164565933
Entity type: Organization (Type 2)
Issued: Feb 14, 2007
Last updated: Sep 3, 2020
Status: Active

Other names

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Blakes Southside Pharmacy Inc · former legal business name

Authorized official

Mr. William L Foret, PHARMACIST
Pic ( Pharmacist In Charge)
(337) 363-7497

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164565933

Blakes Southside Pharmacy Phase II LLC's National Provider Identifier is 1164565933, issued on Feb 14, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ville Platte, LA. The record was last updated on Sep 3, 2020.