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John Bird

John Bird is a health care provider in Sicily Island, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 311 Chisum St, Sicily Island, LA 71368-4807, US
Practice Location Phone318-389-5807
Practice Location Fax318-389-5842
Legal Business NameJOHN BIRD
Other Organization NameISLAND PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1558692400
Entity TypeOrganization
Enumeration Date ? Jan 15, 2010
Last Update Date ? Nov 14, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of John Bird

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy PHY.6199-IRLouisiana

legacy-id-icon Legacy Provider IDs of John Bird

Provider IdIssuer StateIssuer TypeIssuer
2123508OtherPK
1235482LouisianaMedicaid

official-icon Authorized Official of John Bird

An authorized official is an appointed official with the legal authority to make changes and/or updates to the John Bird's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official John Bird (RPH)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number318-758-5533