Park Pharmacy Llc

LBN: Park Pharmacy Llc
Park Pharmacy Llc is an health care organization with primary practice located at 4811 Ambassador Caffery Pkwy Ste 101 , Lafayette LA 70508-7266. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Park Pharmacy Llc can be contacted via phone (337) 806-9000, or through Primeaux, Shane P via phone (337) 806-9000.

Contact Information

Primary practice address
4811 Ambassador Caffery Pkwy Ste 101 Lafayette LA 70508-7266
Phone: (337) 806-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Primeaux, Shane P
Phone: (337) 806-9000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1073109633
LBN Legal business name Park Pharmacy Llc
DBA Doing business as
Authorized official Primeaux, Shane P
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2020
Last updated May 23rd, 2024 - about 2 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 1073109633 NPPES
Louisiana MEDICAID 2202910

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