Jena Pharmacy

LBN: Jena Pharmacy Llc
Jena Pharmacy is an health care organization with primary practice located at 11973 Hwy 84 W , Jena LA 71342-4463. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jena Pharmacy Llc can be contacted via phone (318) 992-5565, or through Poole, Brandon via phone (318) 992-5565.

Contact Information

Primary practice address
11973 Hwy 84 W Jena LA 71342-4463
Phone: (318) 992-5565
Fax: (318) 992-5599
Website:
Map and Directions
Authorized official contact:
Name: Poole, Brandon
Phone: (318) 992-5565

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.005664-IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1427162403
LBN Legal business name Jena Pharmacy Llc
DBA Doing business as Jena Pharmacy
Authorized official Poole, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Feb 14th, 2020 - about 6 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 1427162403 NPPES
Louisiana MEDICAID 1234265
Louisiana Other 2028752

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