Healthcare Provider Details

I. General information

NPI: 1841236205
Provider Name (Legal Business Name): STERLING ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E REYNOLDS DR SUITE C
RUSTON LA
71270-2852
US

IV. Provider business mailing address

205 E REYNOLDS DR SUITE C
RUSTON LA
71270-2852
US

V. Phone/Fax

Practice location:
  • Phone: 318-513-1688
  • Fax: 318-513-1677
Mailing address:
  • Phone: 318-513-1688
  • Fax: 318-513-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHY.004944-IR
License Number StateLA

VIII. Authorized Official

Name: SCOT SIMMONS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 318-513-1688