MEDICARE: JOSEPH TROY TATE BS

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	183500000X	Pharmacist	14351	LA

General Provider Information

NPI Number	:	1174845309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH TROY TATE BS

Provider Business Mailing Address
First Line	:	6200 LESLIE LANE
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70615-4772
Country	:	US
Telephone Number	:	877-264-8060
Fax Number	:	888-811-4564

Provider Business Practice Location Address
First Line	:	6200 LESLIE LANE
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70615-4772
Country	:	US
Telephone Number	:	877-264-8060
Fax Number	:	888-811-4564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2010
Last Update Date	:	02/28/2022

Similar Medicare Providers

1780108704 — VITAL RX OF LOUISIANA LLC
Practice Location Address:

6200 LESLIE LANE
LAKE CHARLES, LA
70615-4772

Practice Phone: 877-264-8060
Practice Fax: 888-811-4564

1366138943 — BROTHERS PHARMACY LLC
Practice Location Address:

6200 LESLIE LN
LAKE CHARLES, LA
70615-4772

Practice Phone: 877-264-8060
Practice Fax:

1003741893 — THOMAS SHIPPEE
Practice Location Address:

2015 FM 2673 OFC 9
CANYON LAKE, TX
78133-4772

Practice Phone: 830-822-1832
Practice Fax:

1063411296 — CALCASIEU ASSOCIATION FOR RETARDED CITIZENS
Practice Location Address:

4100 SN J BENNETT JOHNSTON AVENUE
LAKE CHARLES, LA
70615-5166

Practice Phone: 337-433-0398
Practice Fax: 337-489-1886

1538159033 — MARTIN DE PORRES NURSING HOME, INC
Practice Location Address:

200 TEAL ST
LAKE CHARLES, LA
70615-6841

Practice Phone: 337-439-5761
Practice Fax: 337-466-4788

1104871425 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:

4012 AVENUE H
LAKE CHARLES, LA
70615-5186

Practice Phone: 337-491-2355
Practice Fax: 337-491-2492

Directions to “ JOSEPH TROY TATE BS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.