Jeansonne Family Pharmacy

LBN: Jeansonne Family Pharmacy, Llc
Jeansonne Family Pharmacy is an health care organization with primary practice located at 521 Asbury Drive , Mandeville LA 70471. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jeansonne Family Pharmacy, Llc can be contacted via phone (985) 951-2688, or through Jeansonne, Bryan via phone (985) 264-0512.

Contact Information

Primary practice address
521 Asbury Drive Mandeville LA 70471
Phone: (985) 951-2688
Fax: (985) 951-2691
Website:
Map and Directions
Authorized official contact:
Name: Jeansonne, Bryan
Phone: (985) 264-0512

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639670672
LBN Legal business name Jeansonne Family Pharmacy, Llc
DBA Doing business as Jeansonne Family Pharmacy
Authorized official Jeansonne, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2018
Last updated Dec 10th, 2021 - about 5 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 1639670672 NPPES
Louisiana MEDICAID 2205633

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