Provider Demographics
NPI:1598334641
Name:IJL INVESTMENTS LLC
Entity type:Organization
Organization Name:IJL INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:337-363-7497
Mailing Address - Street 1:808 S CHATAIGNIER ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-5934
Mailing Address - Country:US
Mailing Address - Phone:337-363-7497
Mailing Address - Fax:337-363-0473
Practice Address - Street 1:808 S CHATAIGNIER ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-5934
Practice Address - Country:US
Practice Address - Phone:337-363-7497
Practice Address - Fax:337-363-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2208538Medicaid