<Unavail>

LBN: Park Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 4811 Ambassador Caffery Pkwy Ste 101 , Lafayette LA 70508-7266. 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. Park Pharmacy Llc can be contacted via phone (337) 806-9000, or through Primeaux, Shane 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: (337) 806-9074
Website:
Map and Directions
Authorized official contact:
Name: Primeaux, Shane
Phone: (337) 806-9000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY006937IR Louisiana

Profile Details

NPI number 1619385812
LBN Legal business name Park Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Primeaux, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2014
Last updated Dec 17th, 2020 - about 6 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 1619385812 NPPES
Louisiana MEDICAID 2202910
Louisiana Other 2147229

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