Healthcare Provider Details

I. General information

NPI: 1740205616
Provider Name (Legal Business Name): C & C DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 HWY 59
MANDEVILLE LA
70471-1950
US

IV. Provider business mailing address

2803 HIGHWAY 59
MANDEVILLE LA
70471-1936
US

V. Phone/Fax

Practice location:
  • Phone: 985-626-0234
  • Fax: 985-626-0227
Mailing address:
  • Phone: 985-626-0234
  • Fax: 985-626-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5616-IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number5616-IR
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5616-IR
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5616-IR
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number5616-IR
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number5616-IR
License Number StateLA

VIII. Authorized Official

Name: JAMES LOUIS VALLEE
Title or Position: RPH, OWNER
Credential:
Phone: 985-626-0234