MEDICARE: PHARMACEUTICALS, INC.

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	7417	LA
2	3336L0003X	Long Term Care Pharmacy	PHY.007417-IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609889385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACEUTICALS, INC.

Provider Business Mailing Address
First Line	:	32553 BOWIE ST.
Second Line	:
City	:	WHITE CASTLE
State	:	LA
Zip	:	70788-2503
Country	:	US
Telephone Number	:	225-545-2277
Fax Number	:	225-545-2903

Provider Business Practice Location Address
First Line	:	32553 BOWIE ST.
Second Line	:
City	:	WHITE CASTLE
State	:	LA
Zip	:	70788-2503
Country	:	US
Telephone Number	:	225-545-2277
Fax Number	:	225-545-2903

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PAUL LOUIS VIALLON V
Credential	:	RPH
Telephone Number	:	225-545-2277

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	05/09/2018

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Directions to “PHARMACEUTICALS, INC. ” Practice Location

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