LIL BOOS CORNER STORE LLC


Address: 415 St. Clair Rd. Ste. C, Boyce, LA 71409
Phone: 3187932028

LIL BOOS CORNER STORE LLC (NPI# 1639619653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639619653
Entity Type Organization
Organization Name LIL BOOS CORNER STORE LLC
Other Organization Name LIL BOO'S PHARMACY
Practice Address 415 St. Clair Rd. Ste. C
Boyce
LA 71409
Mailing Address 415 St. Clair Road; Suite C
Boyce
LA 71409
Practice Telephone 3187932028
Practice Fax Number 8595946639
Mailing Telephone 3187932028
Mailing Fax Number 8595946639
Enumeration Date 2017-02-24
Last Update Date 2017-04-06
Authorized Official Name ROBERT MADDOX IV (OWNER)
Authorized Official Telephone 3187932028
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY.007439-IR LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2204980 05
PK 2168053 01

Other Provider/Organization Names

Other Name Type Code
Lil Boo's Pharmacy Doing Business As Name - Organization

Office Location

Street Address 415 ST. CLAIR RD. STE. C
City BOYCE
State LA
Zip Code 71409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558984070 Boyce Family Clinic and Urgent Care LLC Clinic/Center 513 Ulster St., Boyce, LA 71409 2020-05-19
1992345250 Mary Tokunboh Pharmacist 513 Ulster Ave, Boyce, LA 71409 2020-01-14
1033643523 Christus Health Central Louisiana Clinic/Center 415 St. Clair Road, Suite B, Boyce, LA 71409 2017-04-12
1811360399 Tequitra Gray Counselor 1028 Belgard Bnd, Boyce, LA 71409 2015-11-05
1427428655 Richard Thibaut Djapni Pharmacist 513 Ulster St, Boyce, LA 71409 2015-09-30
1639488695 Louis Andrew Juneau Jr. Pharmacist 415 St. Clair Rd Suite C, Boyce, LA 71409 2010-09-24
1245543768 Katie Ann Kimpel Registered Nurse 415 Saint Clair Rd Ste B, Boyce, LA 71409 2010-07-26
1922321231 Medicab, L.L.C. Non-emergency Medical Transport (VAN) 303 Sycamore Drive, Boyce, LA 71409 2010-03-02
1235312893 St Marys Residential Training School Intermediate Care Facility, Mentally Retarded 6719 Hwy 1 North, Boyce, LA 71409 2007-12-06
1659565463 St Marys Resd Training School Intermediate Care Facility, Mentally Retarded 6715 Hwy 1 North, Boyce, LA 71409 2007-09-05
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508373960 Boyce Pharmacy Pharmacy 513 Ulster St, Boyce, LA 71409 2018-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518568054 Chris Pharmacy of Gonzalez LLC Pharmacy 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 2020-11-02
1639779788 Harvey Lee Smith Jr. Pharmacy 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 2020-10-28
1194331579 Minden Family Pharmacy LLC Pharmacy 120 Homer Rd, Minden, LA 71055 2020-09-21
1093321812 Community Pharmacy of Sterlington Pharmacy 200 Scott Dr, Sterlington, LA 71280 2020-09-17
1386256121 Lagniappe Pharmacy 7, LLC Pharmacy 1900 Saint Charles Ave, New Orleans, LA 70130-5317 2020-08-22
1740890144 Downtown Drugs Inc Pharmacy 338 N Vermont St, Covington, LA 70433-2812 2020-07-31
1053929703 Viallon Drug Co of Donaldsonville Pharmacy 309 Marchand Dr, Donaldsonville, LA 70346-3242 2020-07-20
1619595584 Brown's Pharmacy, LLC Pharmacy 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 2020-07-08
1417573593 Doc Your Dose Pharmacy, LLC Pharmacy 17275 Hwy 77, Gross Tete, LA 70740 2020-06-24
1942829247 Good Vibe Ventures LLC Pharmacy 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 2020-04-16
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Competitor

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City BOYCE
Zip Code 71409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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