Provider Demographics
NPI:1447265061
Name:HOTBAR LLC
Entity type:Organization
Organization Name:HOTBAR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:A NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOTARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-330-6363
Mailing Address - Street 1:10374 HIGHWAY 165 N
Mailing Address - Street 2:STE C
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3320
Mailing Address - Country:US
Mailing Address - Phone:318-330-9393
Mailing Address - Fax:318-324-8610
Practice Address - Street 1:1470 GARRETT RD STE A
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-3938
Practice Address - Country:US
Practice Address - Phone:318-330-9393
Practice Address - Fax:318-324-8610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LA61213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2035354OtherPK