MEDICARE: BENOITS INC

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	2542IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1924275	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841355278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENOITS INC

Provider Business Mailing Address
First Line	:	704 N PARKERSON AVE
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-4355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	704 N PARKERSON AVE
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-4355
Country	:	US
Telephone Number	:	337-783-9084
Fax Number	:	337-783-9085

Authorized Official
Title or Position	:	PIC
Name	:	BRANDY FREED
Credential	:	RPH
Telephone Number	:	337-783-9084

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	03/07/2023

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Directions to “BENOITS INC ” Practice Location

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