Fountain Park Pharmacy Inc.

LBN: Fountain Park Pharmacy Inc.
Fountain Park Pharmacy Inc. 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:
Map and Directions
Authorized official contact:
Name: Culotta, Jo Stephanie PHARMACIST
Phone: (504) 434-4777

Health care specialties

SpecialtyCodeLicense #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 Fountain Park Pharmacy Inc.
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407282585 NPPES
Other 2142276 PK
MEDICAID 2204238 PK

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