Bayou Pharmacy

LBN: Bayou Pharmacy Llc
Bayou Pharmacy is an health care organization with primary practice located at 12855 Padgett Switch Rd , Irvington AL 36544-4015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bayou Pharmacy Llc can be contacted via phone (251) 824-7979, or through Cottrell, Charles via phone (251) 824-7979.

Contact Information

Primary practice address
12855 Padgett Switch Rd Irvington AL 36544-4015
Phone: (251) 824-7979
Fax: (251) 824-7989
Website:
Map and Directions
Authorized official contact:
Name: Cottrell, Charles
Phone: (251) 824-7979

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 113326 Alabama

Profile Details

NPI number 1629304183
LBN Legal business name Bayou Pharmacy Llc
DBA Doing business as Bayou Pharmacy
Authorized official Cottrell, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2009
Last updated Mar 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629304183 NPPES
Alabama MEDICAID 114666
Alabama Other 2122525

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