MEDICARE: TERSCO LLC

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	3336C0004X	Compounding Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy	5088IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2032490	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871599498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERSCO LLC

Provider Business Mailing Address
First Line	:	8232 OAK ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-2042
Country	:	US
Telephone Number	:	504-866-3784
Fax Number	:	504-866-9902

Provider Business Practice Location Address
First Line	:	8232 OAK ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-2042
Country	:	US
Telephone Number	:	504-866-3784
Fax Number	:	504-866-9893

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT BENINATO
Credential	:	RPH
Telephone Number	:	504-866-3784

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	10/07/2016

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Directions to “TERSCO LLC ” Practice Location

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