<Unavail>

LBN: Bon Ami Pharmacy
<Unavail> is an health care organization with primary practice located at 2825 Grand Point Hwy # 9 , Breaux Bridge LA 70517-6972. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bon Ami Pharmacy can be contacted via phone (337) 454-6536, or through Stelly, Myles via phone (318) 614-3414.

Contact Information

Primary practice address
2825 Grand Point Hwy # 9 Breaux Bridge LA 70517-6972
Phone: (337) 454-6536
Fax: (337) 454-6540
Website:
Map and Directions
Authorized official contact:
Name: Stelly, Myles
Phone: (318) 614-3414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 007472 Louisiana
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1396270955
LBN Legal business name Bon Ami Pharmacy
DBA Doing business as <Unavail>
Authorized official Stelly, Myles
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2017
Last updated Jan 10th, 2022 - about 4 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 1396270955 NPPES
Other 2168973 PK
MEDICAID 2205170 PK

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