Healthcare Provider Details

I. General information

NPI: 1720851561
Provider Name (Legal Business Name): PHARMACY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 03/24/2024
Certification Date: 03/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 DEPOT ST
DELHI LA
71232-2819
US

IV. Provider business mailing address

213 DEPOT ST
DELHI LA
71232-2819
US

V. Phone/Fax

Practice location:
  • Phone: 318-878-2261
  • Fax: 318-878-9870
Mailing address:
  • Phone: 318-878-2261
  • Fax: 318-878-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUSANNE TERRAL DAVIS
Title or Position: OWNER
Credential: RPH
Phone: 318-878-2261