Lil Boos Corner Store Llc is not a DME supplier for medicare equipments and products.
Lil Boos Corner Store Llc is a Community/Retail Pharmacy in Boyce, Louisiana. It is located at 415 St. Clair Rd. Ste. C, Boyce and it's customer support contact number is 318-793-2028. The authorized person of Lil Boos Corner Store Llc is Robert Maddox Iv who is Owner of the pharmacy and his contact number is 318-793-2028. Active license number of Lil Boos Corner Store Llc is PHY.007439-IR for Community/Retail Pharmacy in Louisiana. Lil Boos Corner Store 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:
Lil Boos Corner Store 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:
Lil Boos Corner Store Llc
Type:
Community/Retail Pharmacy
Location:
415 St. Clair Rd. Ste. C, Boyce, Louisiana, 71409
Phone:
318-793-2028
Fax:
859-594-6639
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:
Robert Maddox Iv
Position:
Owner
Contact Number:
318-793-2028
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:
1639619653
NPI Enumeration Date:
24 Feb, 2017
NPI Last Update On:
18 Jul, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lil Boos Corner Store Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY.007439-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
2204980
Medicaid
Louisiana
2168053
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
415 St. Clair Road; Suite C, Boyce, Louisiana
Zip:
71409
Phone Number:
318-793-2028
Fax Number:
859-594-6639
Patients can reach Lil Boos Corner Store Llc at 415 St. Clair Rd. Ste. C, Boyce, Louisiana or can call on customer care at 318-793-2028.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.