Lake Area Pharmacy

LBN: Lake Area Pharmacy
Lake Area Pharmacy is an health care organization with primary practice located at 1004 Fortune Rd Ste 6 , Youngsville LA 70592-5793. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Lake Area Pharmacy can be contacted via phone (337) 450-3052, or through Cloud, Brian Scott via phone (337) 721-1931.

Contact Information

Primary practice address
1004 Fortune Rd Ste 6 Youngsville LA 70592-5793
Fax: (337) 450-3053
Website:
Authorized official contact:
Name: Cloud, Brian Scott RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5129-IR Louisiana

Profile Details

NPI number 1003976028
LBN Legal business name Lake Area Pharmacy
DBA Doing business as
Authorized official Cloud, Brian Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Sep 9th, 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 1003976028 NPPES
Louisiana MEDICAID 1271080

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