1063447787 NPI number — MATTE'S PHARMACY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063447787 NPI number — MATTE'S PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MATTE'S PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063447787
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 17
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARION
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71260-0017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-292-4570
Provider Business Mailing Address Fax Number:
318-292-5606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
314 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-292-4570
Provider Business Practice Location Address Fax Number:
318-292-5606
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MATTE
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
PRESIDENT/PHARMACIST
Authorized Official Telephone Number:
318-292-4570

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  PHY.000711-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 711-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100523407 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1902798 . This is a "NABP NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1200514 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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