Pecan Park Pharmacy

LBN: Pecan Park Pharmacy
Pecan Park Pharmacy is an health care organization with primary practice located at 204 Pecan Park Ave , Alexandria LA 71303-3308. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pecan Park Pharmacy can be contacted via phone (318) 448-4700, or through Plaucho, Joseph via phone (318) 448-4700.

Contact Information

Primary practice address
204 Pecan Park Ave Alexandria LA 71303-3308
Fax: (318) 448-6080
Website:
Authorized official contact:
Name: Plaucho, Joseph

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 005344 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1861579732
LBN Legal business name Pecan Park Pharmacy
DBA Doing business as
Authorized official Plaucho, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 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 1861579732 NPPES
Other 1932018 OTHER ID NUMBER-COMMERCIAL NUMBER

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