Our Lady Of Guadalupe Pharmacy
LBN: Our Lady Of Guadalupe Pharmacy
Our Lady Of Guadalupe Pharmacy is an health care organization with primary practice located at 904 Highway 363 , Washington LA 70589-4141. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Our Lady Of Guadalupe Pharmacy can be contacted via phone (337) 826-9810, or through Lee, John via phone (337) 826-9810.
Contact Information
Primary practice address
904 Highway 363
Washington LA 70589-4141
Phone: (337) 826-9810
Fax: (337) 826-9813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY005564IR | Louisiana |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1023191103 |
|---|---|
| LBN Legal business name | Our Lady Of Guadalupe Pharmacy |
| DBA Doing business as | Our Lady Of Guadalupe Pharmacy |
| Authorized official | Lee, John OWNER |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Mar 15th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023191103 | NPPES |
| Other | 2035290 | PK | |
| MEDICAID | 1210790 | PK |
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