Petes Pharmacy

LBN: Petes Family Pharmacy Llc
Petes Pharmacy is an health care organization with primary practice located at 539 W Railroad Ave , Independence LA 70443. 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. Petes Family Pharmacy Llc can be contacted via phone (985) 878-6321, or through Tinnerello, Michael via phone (985) 320-5175.

Contact Information

Primary practice address
539 W Railroad Ave Independence LA 70443
Phone: (985) 878-6321
Fax: (985) 878-4613
Website:
Map and Directions
Authorized official contact:
Name: Tinnerello, Michael RPH
Phone: (985) 320-5175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.006092-IR Louisiana

Profile Details

NPI number 1285724336
LBN Legal business name Petes Family Pharmacy Llc
DBA Doing business as Petes Pharmacy
Authorized official Tinnerello, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated May 1st, 2017 - about 9 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 1285724336 NPPES
Other 2028741 PK
MEDICAID 1234958 PK

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