Ponchatoula Family Pharmacy Llc

LBN: Ponchatoula Family Pharmacy Llc
Ponchatoula Family Pharmacy Llc is an health care organization with primary practice located at 19008 Highway 22 , Ponchatoula LA 70454-6780. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ponchatoula Family Pharmacy Llc can be contacted via phone (985) 386-6556, or through Antoon, Dana via phone (985) 345-4767.

Contact Information

Primary practice address
19008 Highway 22 Ponchatoula LA 70454-6780
Phone: (985) 386-6556
Fax: (985) 386-6552
Website:
Map and Directions
Authorized official contact:
Name: Antoon, Dana
Phone: (985) 345-4767

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447821863
LBN Legal business name Ponchatoula Family Pharmacy Llc
DBA Doing business as
Authorized official Antoon, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2021
Last updated Oct 19th, 2021 - about 5 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 1447821863 NPPES
Louisiana MEDICAID PENDING

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