<Unavail>

LBN: Mandeville Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1655 Highway 190 , Mandeville LA 70448-3582. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mandeville Pharmacy Llc can be contacted via phone (985) 778-2306, or through Armstrong, Malcolm via phone (985) 778-2306.

Contact Information

Primary practice address
1655 Highway 190 Mandeville LA 70448-3582
Phone: (985) 778-2306
Fax: (985) 778-2404
Website:
Map and Directions
Authorized official contact:
Name: Armstrong, Malcolm
Phone: (985) 778-2306

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.007316-IR Louisiana

Profile Details

NPI number 1548616998
LBN Legal business name Mandeville Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Armstrong, Malcolm
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2016
Last updated Jul 10th, 2025 - about last year

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 1548616998 NPPES
Louisiana MEDICAID 2204491
Louisiana Other 2159916

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