Ltc Dispensary Llc

LBN: Ltc Dispensary Llc
Ltc Dispensary Llc is an health care organization with primary practice located at 257 Florida Ave Se Ste B, Denham Springs LA 70726-3728. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ltc Dispensary Llc can be contacted via phone (225) 665-8606, or through Crotwell, Herman via phone (225) 665-8606.

Contact Information

Primary practice address
257 Florida Ave Se Ste B Denham Springs LA 70726-3728
Phone: (225) 665-8606
Fax: (225) 664-4043
Website:
Map and Directions
Authorized official contact:
Name: Crotwell, Herman RPH
Phone: (225) 665-8606

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 5128-IR Louisiana

Profile Details

NPI number 1730190240
LBN Legal business name Ltc Dispensary Llc
DBA Doing business as Ltc Dispensary Llc
Authorized official Crotwell, Herman RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 21st, 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 1730190240 NPPES
Other 2035170 PK
MEDICAID 1270920 PK

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