<Unavail>
LBN: Fountain Park Pharmacy Inc.
<Unavail> is an health care organization with primary practice located at 1901 Manhattan Blvd Building F Suite 104, Harvey LA 70058-3582. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Fountain Park Pharmacy Inc. can be contacted via phone (504) 434-4777, or through Culotta, Jo Stephanie via phone (504) 434-4777.
Contact Information
Primary practice address
1901 Manhattan Blvd Building F Suite 104
Harvey LA 70058-3582
Phone: (504) 434-4777
Fax: (504) 309-8031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY007141IR | Louisiana |
| Suppliers / Pharmacy | 333600000X | LA1845 | Kentucky |
| Suppliers / Pharmacy | 333600000X | 114250 | Alabama |
| Suppliers / Pharmacy | 333600000X | 5277 | Tennessee |
| Suppliers / Pharmacy | 333600000X | 14022/7.1 | Mississippi |
| Suppliers / Pharmacy | 333600000X | 15677 | South Carolina |
| Suppliers / Pharmacy | 333600000X | 22-44626 | Kansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH27207 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | PHNR000702 | Georgia |
Profile Details
| NPI number | 1407282585 |
|---|---|
| LBN Legal business name | Fountain Park Pharmacy Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Culotta, Jo Stephanie PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Sep 1st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407282585 | NPPES |
| Other | 2142276 | PK | |
| MEDICAID | 2204238 | PK |
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