OrganizationActive
Lil Boos Corner Store LLC
NPI 1639619653 · Community/Retail Pharmacy · Boyce, LA
Provider details
- NPI number
- 1639619653
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Maddox IV, Owner(318) 793-2028
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 St. Clair Rd. Ste. C
Boyce, LA 71409
Phone: (318) 793-2028
Fax: (859) 594-6639
Street-level locationGet directions
Mailing address
415 St. Clair Road; Suite C
Boyce, LA 71409
Other names (DBA / former)
- Doing business as
- Lil Boos Pharmacy
Registry dates
- Enumerated
- 2017-02-24
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.