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NPI Code Detail

MEDICARE: COURTNEY PITRE ENTERPRISES LLC

MEDICARE: COURTNEY PITRE ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHY.007037-IRLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12149864OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538557152
Entity Type Code : Organization
Provider Name (Legal Business Name) : COURTNEY PITRE ENTERPRISES LLC
Provider Business Mailing Address
First Line : PO BOX 280
Second Line :
City : ARNAUDVILLE
State : LA
Zip : 70512-0280
Country : US
Telephone Number : 337-754-7481
Fax Number : 337-754-7646
Provider Business Practice Location Address
First Line : 412 OLIVE ST
Second Line :
City : ARNAUDVILLE
State : LA
Zip : 70512-6154
Country : US
Telephone Number : 337-754-7481
Fax Number : 337-886-5762
Authorized Official
Title or Position : OWNER
Name : COURTNEY PITRE
Credential :
Telephone Number : 337-754-7481
Provider Enumeration Date : 01/05/2015
Last Update Date : 05/07/2025

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Directions to “COURTNEY PITRE ENTERPRISES LLC ” Practice Location

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