Healthcare Provider Details
I. General information
NPI: 1134205925
Provider Name (Legal Business Name): TECHE ACTION BOARD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2006
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115 WEBER ST
FRANKLIN LA
70538-4124
US
IV. Provider business mailing address
1115 WEBER ST
FRANKLIN LA
70538-4124
US
V. Phone/Fax
- Phone: 337-828-2550
- Fax: 337-828-2791
- Phone: 337-828-2550
- Fax: 337-828-2791
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | 002217 |
| License Number State | LA |
VIII. Authorized Official
Name: MR.
PAUL
HOANG
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 337-828-2550