Cottonport Corner Drug Llc
Community/Retail Pharmacy
206 Choupique Ln, Cottonport
Louisiana, 71327-3757
318-876-3665 318-876-2429
Cottonport Corner Drug Llc is a Community/Retail Pharmacy in Cottonport, Louisiana. It is located at 206 Choupique Ln, Cottonport and it's customer support contact number is 318-876-3665. The authorized person of Cottonport Corner Drug Llc is Kim Wixson who is Mrs. of the pharmacy and his contact number is 318-253-2399. Active license number of Cottonport Corner Drug Llc is PHY.006498-IR for Community/Retail Pharmacy in Louisiana. Cottonport Corner Drug Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cottonport Corner Drug Llc is 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.
Pharmacy Details:
Cottonport Corner Drug Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Cottonport Corner Drug Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 206 Choupique Ln, Cottonport,
Louisiana, 71327-3757 |
| Phone: | 318-876-3665 |
| Fax: | 318-876-2429 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kim Wixson |
| Position: | Mrs. |
| Contact Number: | 318-253-2399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1922372358 |
| NPI Enumeration Date: | 02 Mar, 2012 |
| NPI Last Update On: | 13 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cottonport Corner Drug Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY.006498-IR | Louisiana | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2134437 | Other | | Pk |
| 2201336 | Medicaid | Louisiana | |
Medicare Enrollment:
Cottonport Corner Drug Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6103148853 | O20141208001140 | Cottonport Corner Drug Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 206 Choupique Ln,
Cottonport, Louisiana |
| Zip: | 71327-3757 |
| Phone Number: | 318-876-3665 |
| Fax Number: | 318-876-2429 |
Patients can reach Cottonport Corner Drug Llc at
206 Choupique Ln, Cottonport, Louisiana or can
call on customer care at 318-876-3665.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.